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   Table of Contents      
ARTICLES
Year : 1983  |  Volume : 31  |  Issue : 7  |  Page : 1027-1028

Surgical management of recurrent and nonhealing corneal ulcer


Department of Ophthalmology, SN. Medical College, Agra, U.P, India

Correspondence Address:
D J Pandey
Department of Ophthalmology, S.N. Medical College, Agra
India
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Source of Support: None, Conflict of Interest: None


PMID: 6544249

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How to cite this article:
Pandey D J, Agarwal M M. Surgical management of recurrent and nonhealing corneal ulcer. Indian J Ophthalmol 1983;31, Suppl S1:1027-8

How to cite this URL:
Pandey D J, Agarwal M M. Surgical management of recurrent and nonhealing corneal ulcer. Indian J Ophthalmol [serial online] 1983 [cited 2020 May 26];31, Suppl S1:1027-8. Available from: http://www.ijo.in/text.asp?1983/31/7/1027/29737

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Table 4

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Table 3

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Table 2

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Table 2

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Table 1

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Table 1

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Peripheral corneal ulcers and other types of nonhealing and recurrent corneal ulcers still pose a difficult clinical problem to treat, des­pite advanced therapeutical managements such as specific antimicrobial agents, collagenase inhibitors, heparin, ocular lub­ricants, soft corneal lenses and therapeutic Keratoplasty.


  Material and method Top


The present study was carried out on 52 casses of nonhealing corneal ulcers of dif­ferent aetology in the Deptt. of Ophthalmol­ogy, S.N. Nedical College, Agra.

All the cases were screened for their positive history of recurrence, duration, treatment taken so far. Detailed examination of ulcer was done in each case.

The clinical Diagnosis of cases were established by history, examination & rele­vant supportive Investigations. [Table - 1][Table - 2].

All the cases were subjected to con­junctivectomy at highly vascular area. The strip of conjunctiva 4 X 6 mm. & 2 mm. away from limbus was excised. No cauterization or cryo was applied. The suitable local antibiotic ointment was applied and eye bandaged. Sup­portive treatment was also given pos­toperatively in the form of systemic anti­inflammatory and analgesic drugs. The effect of surgery was noted postoperatively, regard­ing its result on pain, redness and healing and followed upto six to twelve months.


  Observations and discussion Top


The patients with nonhealing corneal ulcers of varied aetiology were totally free from symptoms within 10 days of surgical intervention, in the form of conjunctivectomy.

During the follow up which was taken up form 6 months to one year, no recurrence was seen in keratoconjunctivitis and burn cases. In atheromatous cases, 3 out of 14 cases, in rheumatoid cases 2 out of 5 and in Mooren's ulcer 4 out of 15 cases, reported for recurrence.

`P' and `Z' values of different observations show that `P' values were significant in atheromatous versus Keratoconjunctivitis, Atheromatous versus Burns, Keratocon­junctivitis versus Mooren's ulcer and Burn Versus Mooren's ulcer. In rest of the groups `P' values were insignificant.


  Summary Top


Different types of 52 cases of non-healing corneal ulcers were treated by Limbal Con­junctivectomy and its significance in the treatment of these ulcers was analysed. It was observed that limbal conjunctivectomy is an effective method of treating many nonhealing corneal ulcers.



 
 
    Tables

  [Table - 1], [Table - 2], [Table - 3], [Table - 4]



 

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