Surgical Management of Peripheral Ulcerative Keratitis: Update on Surgical Techniques and Their Outcome

Abstract

Swapnali Sabhapandit,1 Somasheila I Murthy,2 Namrata Sharma,3 Virender S Sangwan4 1Institute of Ophthalmic Sciences, Asian Institute of Gastroenterology Hospitals, Hyderabad, Telangana, India; 2Tej Kohli Cornea Institute, L V Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, Telangana, India; 3Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India; 4Dr Shroff’s Charity Eye Hospital, New Delhi, IndiaCorrespondence: Swapnali Sabhapandit, Institute of Ophthalmic Sciences, Asian Institute of Gastroenterology Hospitals, Mindspace Road, Gachibowli, Hyderabad, 500032, India, Tel [phone], Email [email protected]: Peripheral ulcerative keratitis (PUK) is an inflammatory, necrotic condition in the peripheral cornea which may end in corneal perforation and visual morbidity if not treated adequately. PUK can occur due to infectious or non-infectious causes. Early cases need medical therapy, both locally and systemically (for some cases). However, advanced PUK may necessitate surgical removal of inciting cause of the pathology and maintaining tectonic stability. Such surgical treatment, including corneal transplantations, may be used in an emergency setting or for visual rehabilitation following preliminary stabilization of the affected cornea. The outcome of these surgeries need to be analyzed to understand the long-term visual prognosis of such eyes. This is an attempt to analyze surgical modalities in the management of PUK and their outcomes.Keywords: peripheral ulcer, tissue adhesive, amniotic membrane, keratoplasty

Keywords

• peripheral ulcer
• tissue adhesive
• amniotic membrane
• keratoplasty