Published Paper Details:

Background: Fungal Corneal ulcreation is more severe than bacterial ulcers and fungal organism (bacilli) will be late to expose hence it causes delayed to diagnose and has to be confirmed by microbiological support. Method: 40 Patients of fungal corneal ulcers aged between 20 to 60 years were studied. Examination was done by slit lamp Bio microscope, visual acuity by smellers chart, Findus examination CBC, HbsAg, Microbiological test by scraping cornea, Fungal Culture was done by using saborouds dextrose agar medium. The fungal ulceration of cornea was managed by topical and systemic fungal therapy in severe cases surgical approach was done. It included Debridement of ulcer, penetrating Keratoplasty, optical penetration, conjunctival flap. Results: The highest size of ulcer was 61-100 square mm and least size was <20 Sq. mm. The most prevalent organism was 14 (35%) Fusarium followed by 11 (27.5%) Aspergillus flavus. The highest visual acuity was 20 (50%) at weeks followed by 13 (32.5%) was PLR, PR + HM. The successful healing on 45th day of treatment was 32 (80%). Conclusion: This pragmatic approach to fungal corneal ulceration with 80% successful outcome will be helpful to ophthalmologist to treat such patients efficiently as cornea is a vascular and transparent covering of Eye ball.