short case of corneal ulcer, Penetrating keratoplasty,

2. PENETRATING
KERATOPLASTY ( PKP)
PRESENTED BY
BSS-101285 MAJOR RASHED-UL-HASAN
F.C.P.S PART-II TRAINEE
AFMI, DHAKA

3. • Mr. Chan Mia , 55 yrs old
 Blurring & dimness of vision for last 06 months
 H/O urea fertilizer introduction in right eye 06
months back
 Hypertensive for last 10 years
 On general examination : BP-160/95 mm of Hg

4. • On ocular examination
V/A- PL PR
Ant Segment –
A/C:
Cells & Flare: (+)
Lens: Clear
Fundus: NAD
IOP: 25 mm Hg

6. Investigations
• Corneal scraping
– Gram stain, 10% KOH stain
– C/S in blood agar & chocolate agar media
• Fusarium species

7. Treatment
• Eye drop natamycin 5%
1 drop 1 hourly
• Eye drop Atropine
1 drop 2 times/day
• Eye ointment fungizole
At bed time
• Eye drop brimopress
1 drop 2 times/day
• Tab. Ketoconazole 200 mg
1+0+1
• Tab. Paracetamole 500 mg
2+2+2
Right eye

8. • After observation for 02
weeks
– Conjunctival hooding:
• to salvage the eye
• After 05 months ON
13/09/2015
– Penetrating keratoplasty

10. 1ST POD

11. Treatment
• Eye drop Moxifloxacin
1 drop 6 times/ day
• Eye drop prednisolone
1 drop 1 hourly 2 weeks
1 drop 3 hourly 1 weeks
1 drop 4 hourly 1 weeks
1 drop 6 hourly 1 weeks- contd
• eye drop atropine
1 drop 02 times/ day
• Tab. Ciprofloxacin 500 mg
1+0+1- 07 days
• Tab. Cortan 20 mg
– 1 mg/kg body weight for 2 then tapered off.
right eye

13. After 01 month

15. Idiopathic intracranial hypertension (IIH) is a
disorder of unknown etiology that predominantly
affects obese women of childbearing age. It may
lead to progressive optic atrophy and blindness.It
is essential to educate patients regarding the
potential for disabling blindness. Although IIH
may appear to be self-limiting, it is considered to
be a chronic disorder; therefore, once the
medications given to treat it are tapered off,
patients should be instructed to return to an
ophthalmologist if symptoms of increased ICP
recur.