Corneal Abscesses Profile and Management: A 5 Years Experience in a Tertiary Eye Care Center

Main Article Content

R. Zerrouk
Y. Bennouk
M. Khmamouche
A. Elkhoyaali
Y. Malek
Y. Mouzari
F. Elasri
K. Reda
A. Oubaaz

Abstract

Aims: To define the epidemiological, clinical, bacteriological, therapeutic and progressive characteristics of severe corneal abscesses treated in a tertiary eye care center.

Study Design: Retrospective Study.

Place and Duration of Study: The ophthalmology department of The Mohammed V Military Medical Training Hospital in Rabat, and covering  patients with corneal abcesses from January 2014 to December 2018.

Results: We report 30 cases of severe corneal abscess. With a sex ratio of 1.2, average age of 42.20 years, ranging from 16 to 74 years. The average consultation time after the onset of the first symptoms was 6.6 days with extremes of 2 to 14 days. The initial visual acuity, at the time of hospitalization, was between 03/10 and absence of light perception. The diameter of the abscess was between 2 and 5 mm in 6 cases (20%) and greater than 5 mm in 24 cases (80%). For 4 patients the light perception was negative before hospitalization. For 5 patients, the infection did not have much impact on function of which two patients recovered 10/10 and for 16 patients the acuity remained reduced (between positive light perception at 01/10). Eight patients were cold programmed for corneal transplantation. And 4 cases for evisceration.

Keywords:
Corneal abscess, severe, epidemiology.

Article Details

How to Cite
Zerrouk, R., Bennouk, Y., Khmamouche, M., Elkhoyaali, A., Malek, Y., Mouzari, Y., Elasri, F., Reda, K., & Oubaaz, A. (2019). Corneal Abscesses Profile and Management: A 5 Years Experience in a Tertiary Eye Care Center. Asian Journal of Research and Reports in Ophthalmology, 2(1), 1-6. Retrieved from http://journalajrrop.com/index.php/AJRROP/article/view/30094
Section
Original Research Article

References

Wong T, Ormonde S. Severe infective keratitis leading to hospital Admission in New Zealand. Br. J Ophtalmol. 2003;87: 1103-8.

Kerautre TJ, Raobela L, Colin J. Kératites bactériennes Sévères: Étude rétrospective clinique et microbiologique. J Fr Ophtalmol. 2006;29:883-888.

Limaie R, Maghaieth F. Les abcès graves de la cornée: À propos de 100 cas. J Fr Ophtalmol. 2007;30(4):374-379.

Sharma N. Corneal ulcers. Diagnosis and management. New Delhi, Jaypee; 2008.

Baklouti K, Ayachi M. Les abcès cornéens présumés d’origine Bactérienne. Bull. Soc. Belge Ophtalmol. 2007;305:39-44.

Neumann M, Sjostrand J. Central microbial keratitis in a Swedish city population. A three year prospective study in Gothenburg. Acta Ophtalmol Copenh. 1993;71:160-4.

Verhelst D,Koppen C, Van Looveren J. The Belgian Keratitis study group. Bull Soc belge Ophtalmol. 2005;297:7-15.

Erie JC, Nevitt MP, Hodge DO, Incidence of ulcerative keratitis in a defined population from 1950 through 1988. Arch Ophthalmol. 1993;111:1665-71.

Katz NN, Wadud SA, Ayazuddin M. Corneal ulcer disease in Bangladesh. Ann Ophthalmol. 1983;15:834-836.

Chien-Fan F, Chia-Hui T, Fung-Rong H. Clinical characteristics of Microbial keratitis in a university hospital in Taiwan. Am J Ophthalmo. 1983;15:834-836.

Mahajan VM. Acute bacterial infections of the eye: Their etiology and treatment. Br J Ophthalmol. 1983;67:191-194.

Carmichael TR, Wolpert M, Koornhof HJ. Corneal ulceration at An urban African hospital. Br J Ophthalmol. 1985;69:920-926.

Bourcier T, Thomas F, Borderie V, Chaumail C, Bacterial keratitis: Predisposing factors, clinical and microbiological review of 300 cases. Br J Ophtalmol. 2003;87:834-8.