Treatment Of Corneal Ulcer Modified

Treatment of corneal ulcer  Main lines of treatment: 1. Rest To The Eye 2.

General

Rest Treatment

3. Local Treatment 4. Non Specific Treatment 5. Specific Treatment 6. Treatment Of Complications 7. Surgical Treatment

Aim Of Treatment

Promote epithililization prevent perforation

1-Rest to the eye: o Bandage o Hot fomentation

2-General rest: by avoiding cough and nervousness and straining

laxatives and antitussives especially for deep ulcers to

prevent perforation

General treatment :

VIT A . C Anabolics Tonics Treatment of any septic focus

3-local treatment: [email protected]

o atropine sulphate{ drops , ointment1%} o bandage o local antibiotic{ drops , ointment or sub conj }

4-Non specific treatment: o

cautery:

thermal

or

chemical

Chemical cauteries

o anabolics o NSAIDs

5-specific treatment: o

Typical Hypopyon Antibiotic: (local Ulcer , systemic or sub conj) e.g.penicillin

o cauterization +Local and

Herpetic Ulcer o

Antiviral drugs:

ACYCLVIR IDU TFT

o Cauterization [email protected]

+Local and

o Surgical Keratoplasty

Herpes Zoster Ulcer o

Acyclovir (local systemic)

o Sedation +Local and

o Anti-inflammatory o Anabolics o

Antibiotic + Corticosteroid Cream For Skin lesions

Mooren's Ulcer o Very Resistant Ulcer Contraindication To Use Steroids In It (steroids may be used) o Cauterizaion +Local and

o Radiotherapy

Acanthoameba Ulcer o

Brolene Ointment

o

Neomycin (eye drops)

o Oral Itroconazole o Honey o

+Local and

Betadine 2.5%

Mycotic ulcer Nystatin [email protected]

Amphoticirin B Fluconazole +Local and

6- treatment of complication:

[email protected]

& continue atropine

Combined glaucoma op. + PKP

7-surgical treatment: -Cautery: thermal or chemical -Conj flap -Aminiotic membrane -Cyanoadhesive substance(glue) [email protected]

-Keratoplasty -Keratoprothesis(insertion of artificial lenticule) -tarsoraphy

N.B: avoid corticosteroids in corneal ulcer except : mooren's ulcer phlyc. Ulcer allergic ulcer herpitic stromal epithelial defect}

keratitis

{in

absence

of

n.b.this file is only abasic outline of the treatment of corneal ulcer and you can whatever you want to it to have an outstanding view about the topic

[email protected]