Health Condition 1: H160- Corneal ulcer
Conditions
Interventions
Intervention1: Ultraviolet C application and Methylene Blue Eye drops: A onetime exposure to UVC lamps with output of 4mJ/cm2 for duration of 3 minutes. After exposure of UVC radiation, Methylene blue
Sponsors
Divyajyoti Trust
Eligibility
Inclusion criteria
Inclusion criteria: 1. Subjects 18 years of age or older. 2. Patient exhibits clinical signs of corneal infiltrate or beginning corneal ulcer in at least one eye of suspected bacterial, fungal, viral or mixed (bacterial and fungal) origin. 3. Infiltrates and early ulcers up to a maximum 6mm in diameter. 4. No previous antibiotic/antifungal/ antiviral at least for a minimum of 48 hours from time of screening. 5. Patient provides voluntary signed and dated informed consent. 6. Patient willing to comply with all study procedures and be available for the duration of the study.
Exclusion criteria
Exclusion criteria: 1. Patients with bilateral infectious keratitis/corneal ulcers 2. Suspicion of non-infectious keratitis, or acanthamoeba keratitis or sterile infiltrate. 3. Patients who cannot comply in the treatment or be monitored with frequent clinician controls as required in the study protocol. Patient not willing to stay in the hospital for first three days of treatment. 4. Corneal perforation 5. Descemetocele 6. Known or suspected G6PD deficiency 7. Allergic reaction / sensitivity to methylene blue 8. Pregnancy or breastfeeding 9. Immunosuppressed/immune-compromised patients. Patients on corticosteroids by any route for any other disease. Taking anti-inflammatory drugs for any other disease by any route. 10. Taking any antibiotic for any other disease by any route. 11.Patients with diagnosed eczema (or atopic dermatitis) 12. Previous keratoplasty 13. Patients with monocular vision. 14. Subjects with known history of clinically significant gastrointestinal, cardiovascular, hepatic, haematological, renal, respiratory, immunological, and neurological abnormalities, or disease which in opinion of investigator may interfere in the study compliance and assessments. 15. Subjects who have participated in any other clinical trial �1 months prior to screening. 16. Subjects who are employees or relatives of the study site staff.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the time to heal the corneal ulcer in two treatment armsTimepoint: Day 7, Day 10, day 14 and Day 30 | — |
Secondary
| Measure | Time frame |
|---|---|
| To gather information on the safety of use of UVC plus Methylene Blue in subjects with Infectious keratitis including severity and frequency of adverse events in the study population.Timepoint: Day 7, day 10, day 14, Day 30 | — |
Countries
India
Contacts
Public ContactDr Uday Gajiwala
Tejas Eye Hospital
Outcome results
None listed