Clinical evaluation of mycotic keratitis in a tertiary care hospital

Purpose: 1. To study the clinical and microbiological aspects of fungal keratitis; 2. To study the predisposing and prognostic factors. 3. To study the clinical course management and outcomes of fungal keratitis; 4. To study the morphological features of corneal ulcer; To study the complications and final visual outcome. Material and Methods: This study was carried out in Maharashtra in Marathwada region, over 31 patients, the patients who were showing signs and symptoms of fungal keratitis with special significance to predisposing and prognostic factors microbiological investigation management and follow up. The data was assessed on the basis of simple percentages and ratios. Results: Fungal corneal ulcer was predominantly found more in the age group of 51-60. Majority of fungal corneal ulcer were found in rural area. Majority of cases were more common in males as compared to female. Majority of fungal corneal ulcer patients had history of trauma as predisposing factor. Majority of trauma cases were because of vegetative material. Majority of fungal corneal ulcer were related to farming activities. Inferior quadrant of cornea was most frequently involved in fungal corneal ulcer. Majority of fungal corneal ulcer were having rolled out margins. Majority of cases had thick and fibrinous hypopyon. Hypopyon was present in majority of fungal corneal ulcer patients. Distribution of fungal corneal ulcer studied. Aspergillus niger-18(58.06%); Fusarium 8(25.80%); Cladosporium 3(9.67%); Penicillium 2(6.45%).