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Non-viral microbial keratitis: etiology, clinical features and visual outcome.
J Coll Physicians Surg Pak 2012; 22(3):151-4JC

Abstract

OBJECTIVE

To determine the etiology, clinical features and visual outcome in non-viral microbial keratitis.

STUDY DESIGN

An observational study (case series).

PLACE AND DURATION OF STUDY

Department of Ophthalmology, Khyber Teaching Hospital, Peshawar, Pakistan, from January 2007 to December 2009.

METHODOLOGY

Charts of all patients with infective keratitis treated at the department were reviewed. The data collected and recorded on a standardized form included age, gender, predisposing factors, microbiology results of culture and sensitivity, clinical features, treatment given, complications and visual acuity at last follow-up (at least 2 months).

RESULTS

Among a total of 228 cases, 148 were male (64.9%) and 80 were female (35.1%). Mean age of the patients was 42.8 ± 21.9 years. Trauma was the most common (31.5%) predisposing factor followed by previous ocular surgery (8.8%) and use of topical steroids (6.6%). The most common isolate among positive cultures was Staphylococcus aureus isolated in 31.4% (11/35) eyes followed by fungal hyphae in 25.7% (9/35) and Gram negative bacilli in 17.1% (6/35) eyes. Visual outcome was good (> 6/18) in 19.6 %, moderate (< 6/18 to ³ 6/60) in 22% and poor (< 6/60) in 58.4%.

CONCLUSION

The main predisposing factors in the studied group of patients with non-viral keratitis were ocular trauma and injudicious use of topical steroids. The most common microorganism involved was Staphylococcus aureus. Visual outcome was moderate to poor even after successful treatment.

Authors+Show Affiliations

Department of Ophthalmology, Khyber Teaching Hospital, Peshawar. dribrar@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22414354

Citation

Hussain, Ibrar, et al. "Non-viral Microbial Keratitis: Etiology, Clinical Features and Visual Outcome." Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, vol. 22, no. 3, 2012, pp. 151-4.
Hussain I, Khan BS, Soni M, et al. Non-viral microbial keratitis: etiology, clinical features and visual outcome. J Coll Physicians Surg Pak. 2012;22(3):151-4.
Hussain, I., Khan, B. S., Soni, M., Iqbal, M., & Habibullah, . (2012). Non-viral microbial keratitis: etiology, clinical features and visual outcome. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 22(3), pp. 151-4. doi:02.2012/JCPSP.151154.
Hussain I, et al. Non-viral Microbial Keratitis: Etiology, Clinical Features and Visual Outcome. J Coll Physicians Surg Pak. 2012;22(3):151-4. PubMed PMID: 22414354.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-viral microbial keratitis: etiology, clinical features and visual outcome. AU - Hussain,Ibrar, AU - Khan,Bakht Samar, AU - Soni,Mehmooda, AU - Iqbal,Mustafa, AU - Habibullah,, PY - 2011/05/14/received PY - 2012/01/09/accepted PY - 2012/3/15/entrez PY - 2012/3/15/pubmed PY - 2012/10/24/medline SP - 151 EP - 4 JF - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JO - J Coll Physicians Surg Pak VL - 22 IS - 3 N2 - OBJECTIVE: To determine the etiology, clinical features and visual outcome in non-viral microbial keratitis. STUDY DESIGN: An observational study (case series). PLACE AND DURATION OF STUDY: Department of Ophthalmology, Khyber Teaching Hospital, Peshawar, Pakistan, from January 2007 to December 2009. METHODOLOGY: Charts of all patients with infective keratitis treated at the department were reviewed. The data collected and recorded on a standardized form included age, gender, predisposing factors, microbiology results of culture and sensitivity, clinical features, treatment given, complications and visual acuity at last follow-up (at least 2 months). RESULTS: Among a total of 228 cases, 148 were male (64.9%) and 80 were female (35.1%). Mean age of the patients was 42.8 ± 21.9 years. Trauma was the most common (31.5%) predisposing factor followed by previous ocular surgery (8.8%) and use of topical steroids (6.6%). The most common isolate among positive cultures was Staphylococcus aureus isolated in 31.4% (11/35) eyes followed by fungal hyphae in 25.7% (9/35) and Gram negative bacilli in 17.1% (6/35) eyes. Visual outcome was good (> 6/18) in 19.6 %, moderate (< 6/18 to ³ 6/60) in 22% and poor (< 6/60) in 58.4%. CONCLUSION: The main predisposing factors in the studied group of patients with non-viral keratitis were ocular trauma and injudicious use of topical steroids. The most common microorganism involved was Staphylococcus aureus. Visual outcome was moderate to poor even after successful treatment. SN - 1681-7168 UR - https://www.unboundmedicine.com/medline/citation/22414354/Non_viral_microbial_keratitis:_etiology_clinical_features_and_visual_outcome_ DB - PRIME DP - Unbound Medicine ER -