BJO at a glance
OCULAR TRAUMA: POVIDONE-IODINE AND TREATMENT OF CORNEAL ULCERS
Ocular trauma is a major cause of monocular blindness and visual impairment worldwide. In many parts of the underdeveloped world the most common cause of ulcer is fungal not bacterial. Treatment options for fungal ulcers are limited because of the expense and lack of available medications. A 5% solution of povidone-iodine is widely used prophylactically to reduce the risk of infection during cataract surgery. In a study from Johns Hopkins University all patients with cornea ulcers presenting for care in a rural Nepal clinic were randomised to a standard protocol of antibiotic therapy versus standard therapy plus 2.5% povidone-iodine every 2 hours for 2 weeks. In this study the addition of povidone-iodine to anitibiotic therapy did not improve visual outcomes. See p 1487
NEUROLOGICAL DISEASE AND UVEITIS
It is widely recognised by ophthalmologists that uveitis may be …
