|Year : 1983 | Volume
| Issue : 7 | Page : 1027-1028
Surgical management of recurrent and nonhealing corneal ulcer
DJ Pandey, MM Agarwal
Department of Ophthalmology, SN. Medical College, Agra, U.P, India
D J Pandey
Department of Ophthalmology, S.N. Medical College, Agra
Source of Support: None, Conflict of Interest: None
|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
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|| |
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|| |
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|| |
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.
[Table - 1], [Table - 2], [Table - 3], [Table - 4]