Concluded Case

Corneal opacity.

Paracentral corneal opacity ( macula Type) following healing of viral keratitis ( Right eye). It appears that in addition to antiviral therapy prescribed in our OPD, the patient used some home remedy ( warm saline water) in right eye, that might have worsened the outcome.

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Concluded answer

As we understand it is post viral keratitis healed as opacity What is being expressed by experts seems to be more confusing than solution What is logical to do in this situation Is keratoplasty will be right step We have to save and improve his vision

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IN VIRAL KERATITIS MORE THAN THE USE OF WARM SALINE WATER IT IS INGEDECIOUS USE OF TOPICAL STEROIDS WHICH CAN CAUSE HEVOC IN VIRAL KERSTITIS ONE CAN GET GEORAPHICAL ULCER OR SILENT PERFORATION OF CORNEA WITH USE OF STERIOD IN VIRAL KERATITIS

Thanks for replying, Sir. I took a careful history and use of steroids was denied.
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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Apart from our presumption if we focus on present problem of corneal opacity... Moxicilline drop..& Steroid very four hours for 4 days. And consult the Opthalmic / Ratinal surgeon.

Macular corneal opacity if this is fresh and disciform we can add low dose steroid drops along with antiviral ointment , If it is permanent may need penetrating keratoplasty

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Macular corneal opacity . If vn improves to 6/24 or more with glasses , glasses should be prescribed. Another options r : Optical iridectomy . Keratoplasty.

Corneal opacity Infection inflammation trauma Antibiotic steriod drops Opacity on sclera If cataract surgery

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As we understand it is post viral keratitis healed as opacity What is being expressed by experts seems to be more confusing than solution What is logical to do in this situation Is keratoplasty will be right step We have to save and improve his vision

Corneal opacity ,paracentral Refresh eye drops, Vitamin A capsule, periodic eye check up . May require corneal transplant later .

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challenging and kashtsadhya, we can try netra parikshhalan with triphlajal and triphlaghrat netravasti

Thanks, Doctor.
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Sir ,its looking like disciform, low strength streroid with lubricant can be tried ,if no improvement or properly healed then could be consider for PK

Thank you doctor. We are considering the prospects of PK.
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