Posters

Retrospective analysis of fungal keratitis treated in Clinical Department of Ophthalmology in Katowice Railway Hospital from 2013 to 2017

Poster Details

First Author: K.Olejnik POLAND

Co Author(s): E. Wylęgała                    

Abstract Details

Purpose:

Effectiveness of diagnosis and treatment of patients with fungal keratitis in Clinical Department of Ophthalmology in Katowice Railway Hospital from 2013 to 2017.

Setting:

Forty patients were admitted to Railway Hospital from January 2013 to 2017, diagnosed and treated for fungal keratitis.

Methods:

Diagnosis of fungal keratitis was based on medical history, symptoms and signs , microbiological test and confocal microscopy. The patients’ medical history, clinical features, diagnostic methods, fungal pathogens and therapeutic effects of the treatment were analyzed and evaluated in our study.

Results:

In our study there were seventeen women and twenty three men. Mean time from onset to admission and beginning of treatment was twelve days. In our study the most frequent risk factor of fungal keratitis was organic trauma -thirteen patients. Fussarium spp. dominated in the affected population. Microbiological examination confirmed diagnosis of fungal keratitis in nineteen eyes and confocal microscopy in thirty five eyes. Initially mean BCVA was logMAR 2,18 ,and after hospital treatment mean BCVA was logMAR 1,91. All patients were treated with farmacological medicines, seventeen patients required penetrating keratoplasty. One patient had evisceration performed.

Conclusions:

Fungal keratitis is a big challenge for ophthalmologists because of the difficulty in diagnosis , consequently delayed proper treatment, poor drug penetration and all in all poor efficacy of pharmacological treatment. Patients with fungal keratitis should be treated in tertiary ophthalmological departments, where proper diagnostic process and corneal transplantation may be performed as pharmacological treatment is not always effective.

Financial Disclosure:

None