Saturday, February 27, 2010

corneal ulcer

Question
Respected Sir,

My name is sharjeel Panjwani. i was diagnosd with corneal ulcer about a month and a half ago, for which i received treatment and it was healed, but then about 2 weeks back i developed conjunctivitis an i was told to put blethamide 4 times daily for 5 days. it didnt get beter so then my doctor told me to put decon A which has phenylehrine+antihistamine and also put moxiflxacin and acyclovir. i then went for a referal and the doctor told me to stop everything and jus to put dexapenthanol three times. the redness is gone but i still am experiencing blurred vision in the affected eye. my doctors keep on tellling me that the ulcer was in the center and when it will regress then i will have my hundred percent vision back. so plz tell me if the blurry vision is going to stay there or its going to evade away? if not then wht can be done and also will i be able to wear contats again?

Thank you for your time.


Answer
Infectious keratitis (corneal ulceration) in the central cornea may

cause permanent scarring of the cornea and loss of best corrected

vision.



Based on your history of medications, you have been treated for both

bacterial and viral infections, so it is not clear to me the exact

etiology of the ulcer. Certain types of viral corneal infection are

commonly recurrent.



Contact lens wear, especially extended wear contact lens, is

absolutely contraindicated at this point. If the haze clears

completely, which may take several months; it is possible that you may

be able to wear contacts again. The steroid drops are intended to

clear the haze.



If the haze is permanent and severe you may be a candidate for laser

surgery or corneal transplantation to restore your vision.