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ORIGINAL ARTICLE
Year : 1983  |  Volume : 31  |  Issue : 4  |  Page : 403-404

Use of bhilawan oil as a cauterizing and tatooing agent in corneal ulcers


Department of Ophrhalmolozv S. R.T.R. Med. College, Ambajogai, India

Correspondence Address:
R G Kulkarni
Associate Prof. & Head Department at Ophthalmology S. R.T.R. Med. College, Ambajogai.
India
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Source of Support: None, Conflict of Interest: None


PMID: 6677599

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How to cite this article:
Kulkarni R G, Shastri S C, Kulkarni A. Use of bhilawan oil as a cauterizing and tatooing agent in corneal ulcers. Indian J Ophthalmol 1983;31:403-4

How to cite this URL:
Kulkarni R G, Shastri S C, Kulkarni A. Use of bhilawan oil as a cauterizing and tatooing agent in corneal ulcers. Indian J Ophthalmol [serial online] 1983 [cited 2020 Aug 5];31:403-4. Available from: http://www.ijo.in/text.asp?1983/31/4/403/27565

In the 37th All India Ophthalmic Conference at Hyderabad, I have already presented part of this paper i.e. "Use of Bhilawan Oil as a cauterising agent" This study was undertaken in 50 cases and had success rate of about 96%. Same study we continued to see the tatooing effect of Bhilawan Oil over the corneal tissue.

Acrid juice, which turns black when mixed with lime and exposed to the air, is routinely used by washermen as "Marking ink We have observed its use in treatment of injuries on palms and soles. It seems to help in preventing the infection, at the same time it stains the tissue black, keeping this in mind we have used Bhilawan oil as a cauter­sing agent in corneal ulcers. If it is used along with lime it also turns superficial corneal layers black. This property is explored to see its tatooing effect on corneal tissue.


  Materials and methods Top


This study was undertaken at Swami Ramanand Teerth Rural, Medical College, Ambajogai. Twenty indoor patients of corneal ulcers were treated. The eight ulcers were central and superficial and 12 deep ulcers and their size varied from 2-4 m.m. in diameter.

Procedure

Actual procedure includes superficial scraping of corneal ulcers under surface anaesthesia with 4% xylocaine. Ulcer base was touched with the tip of foreign body spud dipped in to Bhilawan Oil, made freshly available by making hole in to fruit of Bhilawan. The problem of hanging of drop at the tip did not arise. The excess oil was soaked from ulcer area with the help of blott­ing paper. After waiting for a period of one minute same area was touched with 100% lime water (10 gram calcium oxide dissol­ved in 10 ml of tap water and the supernant fluid was used for above purpose). Again one minute was allowed for the reaction and then one drop of antibiotic and one drop of atropine instilled, eye was kept closed for 24 hours.


  Observations Top


On the table soon after use of both reagents there was no black colouration of corneal raw area, but after 24 hours on first dressing there was black staining of corneal ulcer. Over which corneal epithelium regenerated from periphery and sealed the raw area with black stain inside,


  Discussion Top


Tatooing is advised in younger patients with corneal opacities for cosmetic purpose where facilities for keratoplasty are not available or patient is not willing for kerato­plasty operation. Tatooing is also used for optical functions where nebular grade opacity is converted into total opacity so as to achieve a sharp image. For this purpose the agents which are used i.e. Gold chloride, platinum chloride along with hydrazine hydrate are either not available or are very costly. Bhilawan fruit and lime is freely available, cheap and without any hazards even when used on delicate tissues like cornea.

In present study we have followed these cases for the period of two months only, till which staining was intact, long term study as to know how long this tatooing effect lasts, is awaited.


  Summary Top


Bhilawan oil was used as cautering and tatooing agent in twenty cases of corneal ulcer with convincing results.




 

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