Complex Cornea Problems Treatment Centre & Research Institute
LJ Eye Institute - Ambala

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Corneal Infection / Ulcer Management

Corneal infection ulcer management involves targeted antibiotic treatment, anti-inflammatory therapy, and frequent monitoring to promote healing and prevent vision loss.

In Numbers

5000+ Total Keratoconus surgeries performed till time at LJ Eye Institute.

Demographics

Patients from Haryana, Punjab, Himachal Pradesh, J&K, & Rajasthan, trusts LJEI.

Technology / Innovation

LJEI is equipped with all the latest and rare Machines / Technology including AI.

Research

We preserve every single case study to handle any complex situation and publish research papers time to time.

CXL Corneal Collagen Cross Linking at LJ Eye Institute

Infection / Ulcer Management

What is corneal Infection / Ulcer Management?

Corneal infection/ulcer management is the process of diagnosing and treating infections or ulcers that affect the cornea, the clear, protective layer at the front of the eye. The management typically involves:

  • Diagnosis: Identifying the cause of the infection or ulcer, which could be bacterial, viral, fungal, or due to other factors.
  • Antimicrobial Treatment: Administering appropriate antibiotics, antivirals, or antifungals to target the specific pathogen.
  •  Anti-inflammatory Therapy: Using anti-inflammatory medications to reduce pain, swelling, and redness.
  • Supportive Care: Implementing measures to support healing, such as using artificial tears or protective contact lenses.
  •  Monitoring: Regular follow-up to assess the effectiveness of treatment, make adjustments, and prevent complications.

Effective management is crucial to restore corneal health, prevent vision loss, and avoid potential complications.

Symptoms/Conditions

Corneal infection/ulcer management involves addressing symptoms and conditions associated with corneal infections or ulcers. Symptoms include persistent redness, severe eye pain, blurred vision, discharge from the eye, increased sensitivity to light, swelling of the eyelids or conjunctiva, and a foreign body sensation. The conditions requiring management can range from bacterial keratitis, which causes corneal ulcers due to bacterial infection, to viral keratitis from viruses like herpes simplex, fungal keratitis from fungal organisms, and Acanthamoeba keratitis linked to improper contact lens use. Effective management requires diagnosing the specific cause and providing targeted treatment to alleviate symptoms and promote corneal healing.

Corneal ulcer symptoms vary widely. The most common ones include:

    • Red or bloodshot eye
    • Teary or watery eye (epiphora)
    • Eye pain (can vary from mild discomfort or aching to severe
      pain).
    • Feeling like something’s stuck in your eye, like a hair or dust
      (foreign object sensation)
    • Light sensitivity (photophobia)
    • Blurred vision
    • Inflamed or swollen eyelids (blepharitis)
    • A white or gray spot on your cornea (these aren’t always visible, and even when they are, they can be hard to see without the right tools).

    What is the best medicine for corneal ulcers?
    Antibacterial, antifungal, antiviral or antimicrobial eye drops depending on the cause of your corneal ulcer (bacteria, fungi, herpes simplex or other viruses or acanthamoeba) Oral antiviral medication for herpes simplex. Pain medications to relieve pain and reduce inflammation.
    What is the first line of treatment for corneal ulcers?
    Treatment of bacterial keratitis and corneal ulcers consists of topical antibiotics initially, most commonly fluoroquinolones such as ciprofloxacin or ofloxacin.
    What is the emergency treatment for corneal ulcer?
    A corneal ulcer is an emergency that should be treated immediately. Antibiotic, antiviral, or antifungal eye drops are usually needed immediately and must be given frequently, sometimes every hour around the clock for several days. Corneal transplantation (keratoplasty) is sometimes needed.
    What ointment is used for corneal ulcers?
    Mah, ulcers that are typical and don’t require culturing are usually treated using a topical fluoroquinolone antibiotic. Only three of these drugs are FDA-approved for treating bacterial corneal ulcers: ofloxacin; ciprofloxacin; and levofloxacin 1.5%.
    How long do corneal infections last?
    So, the infection should be brought under control within 24 to 48 hours; the swelling phase that also involves the surface epithelium may take several days to heal, and in a very severe infection even weeks. Finally the evolution of the scar can take months.
    Which oral antifungals treat corneal ulcer?
    Other antifungals available include the azoles like miconazole, clotrimazole ketoconazole, posaconazole, and fluconazole and the echinocandin antifungal agents caspofungin, and micafungin. The echinocandins are not active against Fusarium but have excellent activity against Candida spp including non-albicans Candida.
    What is the best eye ointment for corneal erosion?
    • Lubrication at night is generally given in the form of a lubricant ointment such as Lacrilube, Refresh PM, HypoTears ointment or AKWA Tears ointment. 
    • If the eye has a large area of corneal abrasion, treatment with a bandage contact lens (BCL) and antibiotics may be attempted.
    How can I heal my cornea fast?
    Both conjunctiva lacerations and corneal abrasions are treated with antibiotic eye drops and ointment to prevent infection. The ointment also reduces pain and speeds healing. If you have a corneal abrasion, your doctor may recommend wearing a bandage contact lens (BCL).
    What antibiotic ointment is safe for eyes?
    Neosporin is a combination antibiotic that treats conjunctivitis, keratitis, and blepharitis in adults. Polymyxin B-bacitracin (Polysporin). This combination antibiotic is prescribed for most bacterial eye infections.
    What is triple antibiotic ophthalmic ointment?
    This product contains neomycin, bacitracin, and polymyxin, antibiotics that work by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections (such as infections caused by viruses, fungi, mycobacteria).

    in which conditions CXL can be used?

    Red or bloodshot eye

    Blurred vision

    Teary or watery eye (epiphora)

    Light sensitivity (photophobia)

    Inflamed or swollen eyelids (blepharitis).

    Foreign Body Sensation

    Number of CXL procedures performed at LJEI

    Corneal Collagen Cross Linking Procedures

    Why to choose LJ Eye Institute for Collagen Cross Linking Surgery?

    At LJ Eye Institute we use most advanced Eye Transplant techniques whichever is available in the world, which further help to increase the success rate. Where using traditional techniques the success rate is 70% to 75%, the new techniques increase the success rate to 90% to 95%.These advanced techniques includes DMEK, DALK, DSEK, using such techniques we need not to change whole Cornea and we change only One or required number of layers of Cornea.

    Technology @ LJEI

    Technology Available For CXL at LJEI

    LJ Eye Institute employs ultra-advanced technologies for Cornea Transplant procedures.

    • We utilize Femtosecond LASER technology for Cornea Transplants, ensuring precision and accuracy compared to conventional blade methods.
    • Our facility is equipped with specialized equipment including Specular Microscope for assessing corneal power, Topography, Pentacam, Anterion, and OCT for comprehensive evaluation.
    • We integrate the latest available technologies from around the world to achieve the highest success rates in Cornea Transplants.
    • For pediatric cases, we have a dedicated spare system and have extensively researched Pediatric Cornea diseases, with publications in national and international medical journals.
    • LJ Eye Institute is at the forefront of Stem Cell Transplantation, particularly in the pioneering SLET technique, with numerous published papers showcasing our advancements and modifications in the field.

    Still Have Questions?

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