A study on childhood microbial keratitis in South India

dc.contributor.authorChandratreya, Madhura Pen_US
dc.contributor.authorMudduluru, Deepthien_US
dc.contributor.authorVenugopal, Anithaen_US
dc.contributor.authorVarghese, Anitt Ken_US
dc.contributor.authorGhorpade, Aditya Sen_US
dc.date.accessioned2023-08-25T06:36:24Z
dc.date.available2023-08-25T06:36:24Z
dc.date.issued2023-03
dc.description.abstractPurpose: The aim of this study was to determine the predisposing risk factors, clinical characteristics, microbiological profile, and visual and functional treatment outcome of microbial keratitis including viral keratitis in children. Methods: A prospective study was carried out in a tertiary care institute over a period of 18 months on 73 pediatric patients. Data collected was analyzed for demographics of the patient population, causative organisms, and management outcome in terms of visual and functional outcome. Results: Patients in the age group from 1 month to 16 years were included, with a mean age of 10.81 years. Trauma was the commonest risk factor (40.9%), with unidentified foreign body fall being the most common (32.3%). No predisposing factors were identified in 50% of cases. Also, 36.8% of eyes were culture positive, with bacterial isolates in 17.9% and fungus in 82.1%. Moreover, 7.1% eyes were culture positive for Streptococcus pneumoniae and Pseudomonas aeruginosa each. Fusarium species (67.8%) was the commonest fungal pathogen, followed by Aspergillus species (10.7%). Also, 11.8% were clinically diagnosed as viral keratitis. No growth was found in 63.2% of patients. Treatment with broad?spectrum antibiotics/antifungals was administered in all cases. At the final follow?up, 87.8% achieved a best corrected visual acuity (BCVA) of 6/12 or better. Therapeutic penetrating keratoplasty (TPK) was required by 2.6% of eyes. Conclusion: Trauma was the major cause for pediatric keratitis. Majority of the eyes responded well to medical treatment, with only two eyes needing TPK. Early diagnosis and prompt management helped majority of the eyes to achieve a good visual acuity after the resolution of keratitis.en_US
dc.identifier.affiliationsCornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, Indiaen_US
dc.identifier.citationChandratreya Madhura P, Mudduluru Deepthi, Venugopal Anitha, Varghese Anitt K, Ghorpade Aditya S. A study on childhood microbial keratitis in South India. Indian Journal of Ophthalmology. 2023 Mar; 71(3): 841-846en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224886
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber3en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_1314_22en_US
dc.subjectMicrobial keratitisen_US
dc.subjectpediatricen_US
dc.subjectviral keratitisen_US
dc.subjectvisual outcomeen_US
dc.titleA study on childhood microbial keratitis in South Indiaen_US
dc.typeJournal Articleen_US
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