Surgical Outcome of Concomitant Exotropia

Sudesh Arya

Purpose: To find out demographic profile, type of intervention and final outcome of mycotic keratitis in a tertiary care centre.

Methods: Retrospective analysis of case records of mycotic keratitis on clinical appearance from 2004 – 2009.

Results: There were 82 eyes of 82 patients who had clinical appearance of mycotic keratitis. Mean age was 46.37 years with age range being 17-90 years.74.4% patients were males with majority of them from rural background (75.6%). Commonest predisposing factor was trauma with vegetative matter (26%) followed by cow tail injury (3.7%) and others. 11% eyes had peforation at the time of presentation. 45.1% eyes required therapeutic keratoplasty. Other interventions required were intracameral Amphotericin-B(4.8%), amniotic membrane transplantation ( 3.7%), intrastromal Amphotericin–B(1.2%) eyes. 46% patients could be managed only by antifungal treatment alone.

Conclusion: Mycotic keratitis can be managed by multipronged attack only in the form of medical treatment and various other surgical interventions depending upon clinical condition.