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Vbenfmgh, J

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38 views3 pages

Vbenfmgh, J

Uploaded by

HSM Ijebu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CHAPTER FOUR

4.0 SUMMARY

71 years old Mr. A.I.K visited our hospital at Eye Foundation Community Hospital Ijebu Imushin
on the 15th of March, 2023 accompanied by his son Mr. G.K with a presenting complain of pain,
tearing and discharge, poor vision and photophobia – all in the right eye.

According to the patient, February this year, dirt particles entered his eyes and he started itching,
he applied tiro into his eyes and later used one eye drop he got from a pharmacy and the condition
of the eye worsen till he can no longer see with the right eye. He then went to an hospital at
Abeokuta where he got some eye drops and medication and he has been a bit better since then.

After being examined by our consultant ophthalmology, Mr. A.I.K was diagnosed of Cornea Ulcer.

Corneal ulcer is an open sore on your cornea. Infection is the leading cause. Symptoms include a
red, watery and bloodshot eye; severe eye pain and pus or other eye discharge. A corneal ulcer can
lead to vision loss and blindness and is considered a medical emergency.

Corneal ulcers or infections may also be caused by:


➢ Eyelids that do not close all the way, such as with Bell palsy
➢ Foreign bodies in the eye
➢ Scratches (abrasions) on the eye surface
➢ Severely dry eyes
➢ Severe allergic eye disease
➢ Various inflammatory disorders

SYMPTOMS

Symptoms of infection or ulcers of the cornea include:


➢ Blurry or hazy vision
➢ Eye that appears red or bloodshot
➢ Itching and discharge
➢ Sensitivity to light (photophobia)
➢ Very painful and watery eyes
➢ White patch on the cornea
PREVENTION

Things you can do to prevent the condition include:


➢ Wash your hands well when handling your contact lenses.
➢ Avoid wearing contact lenses overnight.
➢ Get prompt treatment for an eye infection to prevent ulcers from forming.

4.1 CONCLUSION

Corneal ulcers are caused by both bacterial and fungal agents. Early and accurate diagnosis

and intensive treatment is the need for saving the eye and preventing the catastrophe of

lifelong blindness.

4.2 RECOMMENDATIONS

1. Identification and training of interested competent and committed ophthalmic medical


assistance.
2. Establishment of vision centers at the community level where ophthalmic medical
assistance will be responsible for educating counselling and sensitizing the community
about eye health.
3. Government and private organization will try to intensify effort on community outreach
Programme.
4.3 REFERENCES

1. Austin A, Lietman T, Rose-Nussbaumer J.

Update on the management of infectious keratitis. Ophthalmology. 2017;124(11):1678-


1689. PMID: 28942073 pubmed.ncbi.nlm.nih.gov/28942073/.

2. Aronson JK.

Contact lenses and solutions. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th
ed. Waltham, MA: Elsevier B.V.; 2016:580-581.

3. Azar DT, Hallak J, Barnes SD, Giri P, Pavan-Langston D.

Microbial keratitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and
Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier;
2020:chap 113.

4. Cioffi GA, Liebmann JM.

Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine.
26th ed. Philadelphia, PA: Elsevier; 2020:chap 395.

5. Efron N.

Corneal staining. In: Efron N, ed. Contact Lens Complications. 4th ed. Philadelphia, PA:
Elsevier; 2019:chap 18.

6. Guluma K, Lee JE.

Ophthalmology. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical
Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 57.

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