The clinical characterization of these cases showed that 153 had epithelial keratitis and 81 stromal infiltrations, 92 cases presented with dendritic ulcer, 20 had geographic, and 23 had superficial punctate keratitis
. Disciform keratitis was seen in 66 and necrotizing stromal keratitis was seen in 15 cases.
The NK is classified into three stages, that is, appearances of superficial punctate keratitis
, corneal epithelial hyperplasia, stromal scarring, and neovascularization (1st stage), a persistent epithelial defect (PED) (2nd stage), and a corneal ulcer with inflammatory sign and severe pain (3rd stage).
Improvement indicated by a decrease of at least 1 point in the modified Oxford scale or improvement in at least one quadrant to total disappearance in CFS (as shown in Figure 1) was observed in 104 eyes (89.6%), while 10 eyes (8.6%) showed no change and 2 eyes (1.7%) presented slight worsening in superficial punctate keratitis
. Three eyes (1.9%) presented severe punctate keratitis
(grade IV) at baseline, all of which healed completely after 6 weeks of monotherapy with E-PRP.
Ophthalmomyiasis externa may manifest clinically with symptoms of classic conjunctivitis, pseudomembranous conjunctivitis, blepharoconjunctivitis, punctate keratitis
These events were blurred vision, dry eye, superficial punctate keratitis
, dysgeusia and abnormal sensation in the eye.
of patients consultation) Bacterial conjunctivitis 1 Conjunctival oedema 1 Corneal abrasion 2 Corneal epithelial defect 1 Episcleritis 2 PVD 4 Punctate keratitis
1 Raised IOP (25mmHG) and long-standing tropia 1 Table 2 Count of the conditions incorrectly diagnosed by optometrist Optometrist diagnosis No.
Superficial punctate keratitis
was found in 8.33% cases on presentation however, tarsal plate thickening was along with SPKs was observed in 5% of cases.