Data of patients with acute keratomalacia
No | Age (months) /sex | Clinical presentation | Management | Follow up (months) | Visual acuity at presentation/at final follow up | Clinical outcome |
---|---|---|---|---|---|---|
VA = visual acuity ; BCVA = best corrected visual acuity ; M = Male, F = Female; PK = penetrating keratoplasty; PL = perception of light; MLCO = maculoleucomatous corneal opacity; Asp = aspiration; AV = anterior vitrectomy; PED = persistent epithelial defect; FU = follow up; NMCO = nebulomacular corneal opacity; OI = optical iridectomy; HMCF = hand movements close to face; reconstruc = reconstruction. | ||||||
*Paracentral corneal ulcer. | ||||||
1 | 24/F | RE 3 mm corneal ulcer* | RE medical | 18 | 4/60/6/36 | RE moderate scar |
LE total corneal melt | LE tectonic PK | Pl/1/60 | LE graft failed | |||
2 | 9/M | RE 85 mm melt | RE tectonic | 6 | PL/2/60 | RE graft failed |
LE anterior stapyloma | PK + lens asp+ AV | No PL/– | LE phthisis | |||
3 | 18/M | RE total corneal melt | RE tectonic | 6 | PL/2/60 | RE graft failed |
LE phthisis | PK | – | ||||
4 | 36/F | RE total corneal melt | Both eyes tectonic | 2 | PL/3/60 | Both eyes pthisis |
LE phthisis | PK | – | ||||
5 | 18/F | RE total corneal melt | RE tectonic | 24 | PL/2/60 | RE pthisis |
LE phthisis | PK twice | – | ||||
6 | 42/F | Both eyes total corneal necrosis | Both eyes | 4 | PL/1/60 | RE graft clear |
tectonic PK | PL/2/60 | LE graft failed (rejection) | ||||
7 | 2/M | RE total corneal | RE tectonic | PL/1/60 | RE graft failed | |
Melt | PK | 4 | ||||
LE xerosis | LE medical | 6/9/6/9 | LE corneal xerosis | |||
8 | 24/M | Both eyes 8 mm corneal | RE medical | PL/2/60 | RE adherent leucoma | |
melt | 6 | LE graft clear | ||||
LE tectonic PK | PL/1/60 | |||||
9 | 8/M | RE 85 mm corneal melt | RE tectonic PK | PL/2/60 | RE graft clear | |
LE xerosis | LE medical | 5 | 6/12/6/12 | LE corneal xerosis | ||
10 | 18/F | RE 9 mm corneal melt | RE tectonic PK | PL/no PL | RE phthisis | |
LE corneal ulcer* | LE medical | 3 | 3/60/6/36 | LE mild scar + corneal xerosis | ||
11 | 18/F | RE 85 mm corneal melt | RE tectonic | PL/1/60 | RE graft clear | |
LE 35 mm cornea | PK | 3 | ||||
Ulcer* | LE medical | 4/60/6/36 | LE mild scar + corneal xerosis | |||
12 | 36/M | RE tectonic PK | Both eyes PL/1/60 | RE graft failed | ||
Both eyes 9 mm corneal melt | LE medical | 3 | LE severe scar | |||
13 | 24/F | RE phthisis | – | No PL | ||
LE inferior 4 mm melt with perforation* | LE tectonic PK | 18 | 2/60/6/60 | LE graft clear | ||
14 | 24/F | RE 5 mm corneal melt | Both eyes medical | PL/6/36 | RE adherent leucoma | |
LE total corneal melt | 3 | PL/no PL | LE phthisis | |||
15 | 36/M | Both eyes total corneal melt | Both eyes medical | Lost to FU | Both eyes PL/– | – |
16 | 6/M | RE 9 mm corneal melt | Both eyes medical | Lost to FU | PL/– | – |
LE 5 mm corneal ulcer* | 2/60/– | |||||
17 | 36/M | RE 6 mm corneal melt* | Both eyes medical | 3 | PL/6/36 | RE adherent leucoma |
LE corneal xerosis | 6/24/6/12 | LE normal | ||||
18 | 9/M | Both eyes 8 mm corneal | Both eyes medical | Both eyes PL/6/36 | RE adherent leucoma | |
melt* | LE adherent leucoma →OI | |||||
19 | RE 35 mm corneal melt* | Both eyes medical | PL/6/36 | RE mild scar | ||
3/M | LE corneal xerosis | 6 | 4/60/6/60 | RE normal | ||
20 | 24/M | RE total corneal melt | Both eyes medical | PL/6/60 | RE adherent | |
LE phthisis | 7 | No PL | leucoma →OI | |||
21 | 5/M | Both eyes 6 mm corneal melt | Both eyes medical | 8 | Both eyes PL/6/60 | Both eyes adherent leucoma →OI |
22 | 3/M | RE 8 mm corneal melt | Both eyes medical | Both eyes PL/PL | Both eyes adherent leucoma → anterior | |
LE 7 mm corneal melt with perforation | 3 | staphyloma (irregular FU) | ||||
23 | 60/F | Both eyes 9 mm corneal melt | Both eyes medical | 11 | PL/2/60 | RE adherent leucoma → PK + lens asp +AV (graft clear) |
PL/no PL | LE phthisis | |||||
24 | 12/F | RE 75 mm corneal melt | PL/2/60 | RE adherent leucoma → PK (graft clear) | ||
LE 35 mm corneal melt* | Both eyes medical | 12 | 2/60/6/18 | LE mild scar | ||
25 | 12/M | RE 8 mm melt | PL/PL | RE anterior | ||
LE 3 mm corneal ulcer* | Both eyes medical | 4 | staphyloma → PK + lens asp + AV (graft failed) | |||
3/60/6/18 | LE mild scar | |||||
26 | 60/M | PL/PL | RE anterior staphyloma | |||
Both eyes 95 mm corneal melt | Both eyes medical | 13 | PL/6/60 | LE adherent leucoma →PK + anterior segment reconstruc + AV (graft clear) | ||
27 | 42/F | RE 3 mm corneal melt* | 3/60/6/18 | RE mild scar | ||
LE 8 mm corneal melt | Both eyes medical | 9 | PL/HMCF | LE adherent leucoma → PK (graft failed) | ||
28 | 12/M | Both eyes 8 mm corneal melt | Both eyes medical | PL/PL | RE anterior staphyloma | |
4 | PL/HMCF | LE adherent leucoma → PK (graft failed) | ||||
29 | 9/M | RE 8 mm corneal melt | Both eyes medical | PL/HMCF | RE adherent | |
LE phthisis | 4 | No PL/no PL | leucoma →PK (graft clear) |