Corneal Perforation, Exposure Keratitis, Infectious Keratitis
Conditions
Brief summary
Case series of 5 ICU patients in Farwaniya Hospital who developed exposure keratitis and a subsequent small corneal perforation between April 2022 and April 2024. The investigators highlight the non-surgical role of OmniLenz® in the treatment of small corneal perforations secondary to exposure keratitis. The inclusion criteria were corneal perforation less than 1mm in size, positive culture & sensitivity results and showing initial improvement on topical antibiotic eye drops.
Detailed description
The primary outcome measures were healing of the corneal perforation, a negative Seidel test and reformation of the anterior chamber. Secondary outcome measures were improvement of all three of ciliary injection, state of epithelial defect, and corneal infiltration.
Interventions
OmniLenz® applied for 1 week in all patients after development of corneal perforation
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion/
Exclusion criteria
* Patients with small corneal perforations measuring \< 1 mm in diameter. Those with larger perforations (\>1mm) were excluded. * Patients with conclusive results of keratitis (confirmed via culture and sensitivity scraping) AND showing improved keratitis following antibiotic treatment. Those with no confirmed keratitis through C&S or with inconclusive scraping results were excluded. * No age or gender restrictions were applied.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Size of corneal perforation | one week | Size of corneal perforation will be measured in mm using slit lamp examination |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| size of epithelial defect | one week | Size of epithelial defect will be measured in mm using slit lamp examination |
Countries
Kuwait