Title: Pattern and management of Peripheral ulcerative keratitis (PUK) in Bangladeshi patients
Authors: Dr Md. Kamrul Islam, Dr Md. Nasir Uddin, Dr AKM Shamsuddin
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.119
Abstract
Objective: In this study our main goal is to evaluate the pattern and management of peripheral ulcerative keratitis (PUK) in Bangladeshi patients.
Method: This observational study was done in the in the National Institute of Ophthalmology & Hospital from January 2019 to January 2019. A total of 150 consecutive patients were included. The diagnosis PUK was made on the basis of presence of crescent-shaped destructive inflammation within at least 2 mm of limbus associated with epithelial defect, stromal inflammatory cells and possibly stromal degradation.
Result: during the study, the mean random blood sugar was 11.5±5.5 mg/dl in patients.37% patients had blurred vision, followed by 24% had increased sensitivity to bright light, 39% had a sensation of a foreign object trapped in the eye. Mooren’s ulcer present in 32% cases followed by microbiological infection 39% and systemic collagen vascular disease 29 %.
Conclusion: From our study we can conclude that, that the management of such cases, underscores the need for a detailed workup, regular follow up and specialties. Consultation patients with PUK require thorough ocular and systemic investigations to detect the aetiology on which the treatment is based. Surgical intervention in perforated cases had good visual prognosis and anatomical success. In spite of complete resolution, continued, possibly lifelong is necessary since relapse may occur.
Keyword: Peripheral ulcerative keratitis (PUK), crescent-shaped destructive inflammation, ocular and systemic pattern.
