Mohammed Selim Reza1, Shamsul Alam Choudhury2, Farhana Tasnim Chowdhury3, Azima Aktar Jhuma4
1. Associate Professor (C.C), Department Of Ophthalmology, North-East Medical College, Sylhet.
2. Professor, Department Of Ophthalmology, North-East Medical College, Sylhet.
3. Registrar, Department Of Ophthalmology, North-East Medical College, Sylhet.
4. Assistant Professor, Department Of Microbiology, Sylhet MAG Osmani Medical College, Sylhet.
Abstract
Mycotic keralitis is an important ophthalmologic problem especially in developing countries which needs early diagnosis and treatment to save the patients’ eye. To see the profile of fungal keratitis in North-East region of Bangladesh, this cross-sectional study was conducted in the Department of Ophthalmology, Sylhet MAG Osmani Medical College Hospital, Sylhet between January 2016 and December 2017. Ninety adult patients of non-viral microbial keratitis were included. Clinical profile, visual acuity and predisposing factors were recorded. Fungal culture was done and was found positive in 70 (77.8%) cases. The mean age of the patients was 40.29 13.82 years with slight male predominance (52.9%). The common clinical profiles were watering and redness of eye (100.0%), pain or burning sensation (74.3%) and dimness of vision (100.0%) and the signs were blepharospasm (97.1%), cilliary congestion (100.0%), corneal opacity (100.0%) and corneal vascularization (15.7%). The most common predisposing factor was trauma (66.7%). Aspergillus species (71.4%) was the commonest fungus. Others were Penicillium species (7.1%), Fusarium species (8.6%), Mucor (10.0%) and Rhizopus (29%) cases. Fungal keratitis is the most common non-viral keratitis following agriculture trauma and Aspergillus species being the most commonly isolated pathogen.
Key Words: Mycotic keratitis, non-viral keratitis.