HYPOPYON CORNEAL ULCER

HYPOPYON CORNEAL ULCER MADE EASY

1. HYPOPYON CORNEAL ULCER M.V.S.RAGHAVENDRA

2. INTRODUCTION IT IS ALSO CALLED ULCUS SERPENS COMMONLY CAUSED BY PNEUMOCOCCUS SOURCE OF INFECTION:CHRONIC DACRYOCYSTITIS( Lacrimal sac infection due to naso lacrimal duct obstruction) It may also caused by other organisms like staphylo,strepto,gonococci

3. FACTORS RESPONSIBLE VIRULENCE OF BACTERIA RESISTANCE OF TISSUES MOST COMMONLY SEEN IN DEBILITATED,ALCOHOLIC

4. MECHANISAM OF HYPOPYON CORNEAL ULCER+IRITIS(DUE TO BACTERIAL TOXINS) SEVERE IRITIS CAUSES OUTPORING OF LEUKOCYTES CELLS DEPOSIT TO BOTTOM OF AC TO FORM HYPOPYON

5. IS IT STERILE? YES, THE LEUCOCYTES CAME OUT DUE TO TOXINS SO NO BACTERIA INVOLVED SO IT WILL BE RESOLVED WHEN ULCER IS TREATED

6. CLINICAL FEATURES YELLOISH DISC SHAPED ULCER SERPINGINOUS ULCER PATERN VIOLENT IRIDOCYCLITIS SECONDARY GLAUCOMA EARLY PERFORATION

7. MANAGEMENT TOPICAL ANTIBIOTICS CEFAZOLINE FORTIFIED TOBRAMYCIN CYCLOPLEGIC DRUGS(FOR REDUCE PAIN,AND BLOOD SUPPLY) TIMOLOL MALEATE(SEC.GLAUCOMA) DACRYOCYSTECTOMY(IF IT IS DUE TO DACRYOCYSTITIS)