@Dr. Sujan Singh please help me this petant trit 15 days but no rilif please Rx dx

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Looks like descemetocele in a severe corneal ulcer with hypopyon. Continue treating the case like any corneal ulcer with special emphasis on reducing IOP even by paracentesis Diagnostic procedures should also include those of fungal keratitis.

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Hypopyon with endopthalmitis examine vision IOP looks to be penetrating injury to cornea and lens which is sealed do a.c. tap and send for c/s and fungal slide take 2nd sample by vitreous tap again for c/c and fungal slide examination after KOH mount for fungus after vitreous tap give intraviteral amphotericin B and vancocin. After c/s and slide examination repeat intraviteral antibiotics and antifungal as per recommended cocentration of drugs by proper diluting the drugs with tuner lactate wait for 7 days for response then decide to do lensectomy and vitrectomy and proceed accordingly

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Fungal keratitis Send corneal scrapings for culture and sensitivity Topical voriconazole hourly Topical natamycin eye drops hrly Topical gatifloxacin eye drops hrly Homide eye drops 3times /day Tab.fluconaxole 200mg OD ab diamond 250 mg BD REVIEW AFTER 5 TO 7 DAYS If no response plan for intra stromal voriconazole

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OLD LEIKOMATOUS CORNEA OPACITY WITH ACTIVATED. KERATITIS CYCLOGY EYE DROPS ONE DROP 3 TIMES A DAY MOXAFLOXINE EYE DROPS ONE DROP 3 TIMES A DAY NONSTETIODAL ANTIINFLAMMATIRY EYE DROPS ONE DROP 3 TIMES A DAY ARTIFICIAL TEARS EYE DROPS ONE DROP 3 TIMES A DAY? MONITER THE PATIENT

Looks like fungal keratitis.... E/d moxi tobra 1 hourly E/d natamycin 1 hourly E/d homide bd E/o itral bd Tab itral 200mg od 7 day Tab ciplox 500 bd 7 day Bcomplex Pain killer sos Corneal scraping to be sent for gm stain koh

Fungal keratitis with hypopyon. Topical and systematic antifungals. Intracameral voricanazole Scraping of ulcer with Povidone iodine will help in debunking of infected tissue, better penetration of topical agents. And Povidone iodine itself has antifungal activity. Topical atropine/ cycloplegics. If not responding to the treatment or the ulcer perforates, therapeutic keratoplasty can be considered.

Fungal keratitis

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