Occurrence of fungal keratitis among patients at SMS hospital Jaipur
Dr. Suman Meena, Dr. Aruna Vyas, Dr. Sadhana Meena
Background: Fungal keratitis is an infectious disease caused by direct implantation of fungus in cornea by traumatic injury. Its delayed diagnosis causes complications which often lead to permanent loss of vision. Though it is reported worldwide, maximum occurrence is reported in tropical and subtropical area. It is one of the major causes of loss of vision in India. Objective of present is to assess occurrence of fungal keratitis in patients attending Ophthalmology department of SMS hospital, Jaipur. Material and Method: The study was conducted from SEPTEMBER 2016 to AUGUST 2017 on 32 patients who presented with clinically suspected corneal ulcer to the Ophthalmology department of SMS Medical College Jaipur. Each patient was examined and corneal scrapings were collected by an ophthalmologist. Wet mount in 10% KOH was examined for fungal elements. The specimen was also inoculated on Sabouraud’s Dextrose Agar (SDA) with and without antibiotics. Fungal growth was identified by the standard mycological techniques. Result: Total 32 samples were tested. Total 15(46.87%) samples were sterile and 17(53.12%) samples were culture positive. Fusarium was the commonest isolate (52.94%), followed by Aspergillus flavus (17.64%), Aspergillus fumigatus (11.76%), Bipolaris(5%), Curvularia (5%), Fonsecaea (5%) Conclusion: Filamentous fungi are most important cause of infection in case of corneal infection. Fusarium species was most common isolate among patients tested.