case_presentation_on_corneal_ulcer__123.pptx

case_presentation_on_corneal_ulcer__123.pptx

• 2.
  • Dharam singh, 31 year ,male , resident od devrala bhiwani , farmer by occupation visited in our opd in 3/10/2023 • Chief complain : pain in LE X 2 WEEK – Redness in le x 2 week – Diministion in vision in le x 1 week
• 3.
  HOPI • As statedby the patient he was apparently asymptomatic 2 weeks back when he had a trauma with vegetative matter in le • Since than he was having pain in le which was sudden in onset , progressive , continuous pricking type , relived by taking medicine , no aggregating factors , no diurnal variation , photophobia • It was associated with redness in le which was sudden in onset associated with watering , foreign body sensation • Patient also complain of dov in le which was gradual in onset , painful and progressive • For which he went to local hospital and taking medication was relived for sometime than symptom aggravates • No H/O colored halo , diplopia ,usage of any glasses , similar episode in past
• 4.
  • Past history: no history of DM,HTN,TB, asthma or any other chronic illness • Personal history : smokes bidi from last 15 years ( 3-4 bidi / day ) non vegetratian with normal bowel and bladder habit • Family history : no relevant fanily history • No H.O drug allergies • No H/O previous ocular surgery • Nutritional status : well build male
• 5.
  • Conscious ,cooperative and well oriented to time place and person with vitals of B.P – Pulse : – No palor , icterus , clubbing ,edema or lumphadenopathy • CNS : no neurological deficit present • CVS: WNL • Respiration system : WNL • GIT : no mass or organomegaly
• 6.
  External examination • Facialsymmetry :normal • External face : normal • Head posture: normal • Ocular position : normal • Ocular alignment : • Ocular motility : full and free in all direction
• 7.
  Right eye Lefteye Visual acuity unaided 6/6 CF EYELID Flat Flat CONJUNCTIVA Normal CCC+ SCLERA Normal CORNEA Clear Central corneal ulcer of size 4x4 mm, stain positive, Infilterate +,stromal edema + Thinning 80% ANTERIOR CHAMBER Normal in content and depth Hypopyon of size <0.5 mm IRIS Normal color and pattern Not visible PUPIL Round reactive and regular Not visible
• 8.
  • defect ofthe corneal epithelium involving the underlying stroma,
• 9.
  • Fungi :rigid walls and a distinct nucleus with multiple chromosomes containing both DNA and RNA • Rare in temperate countries but is a major cause of visual loss in tropical and developing countries • Insidious onset , can elicit sever inflammatory response , corneal perforation and the outlook for vision is frequently poor
• 11.
  Fungi Myxomycetes Eumycetes Phycomycetes Lower fungi Ascomycetes Sacfungi Basidiomycetes Club fungi Deuteromycet Fungi imperfecti Rhizopus Mucor Albugo Yeast Aspergillus Penicillium Neurospora Peziza Agaricus Polyporus Lycoperdon Fusarium Tricoderma Cercospora
• 12.
  Rhizopus Mucor