A three-year review of corneal ulcer needing hospitalization Hiroshi Toshida 1 , Yusuke Matsuzaki 1 , Chiaki Azuma 1 , Yoko Sorita 1 , Kimiko Asaoka 1 , Kohei Ichikawa 1 , Yusuke Hayashi 1 , Joubu Sugita 1 , Toshihiko Ohta 1 1Department of Ophthalmology, Juntendo University Shizuoka Hospital pp.887-891
Published Date 2020/7/15
DOI https://doi.org/10.11477/mf.1410213620
  • Abstract
  • Look Inside
  • Reference

Abstract Purpose:To report 38 patients who were hospitalized for corneal ulcer in the past 3 years.

Cases and Method:We reviewed the medical record of 38 patients who were hospitalized for corneal ulcer during 3 years through 2016. We evaluated the cause, causative microorganism, surgery, and visual outcome.

Results:The series comprised 19 males and 19 females. The age ranged from 20 to 93 years, average 73.6±16.1 years. All were unilaterally affected. Ten cases had diabetes mellitus. Only one was a wearer of contact lens. Culture of corneal scraping was positive in 10 out of 37(27.0%). Surgery was performed in 19 patients, including 4 out of 4 patients who were under artificial dialysis for diabetic nephropathy in 3 cases and one for polycystic kidney. Hospitalization lasted for 23.6±15.6 days in patients who received surgery and 14.1±9.3 days who did not. The difference was significant(p=0.029). There was no difference in the rate of visual acuity less than 0.01 between the two groups.

Conclusion:The primary cause for poor visual outcome may be due to the location of our hospital in the rural area far from major cities. Diabetes mellitus and artificial dialysis contributed to the poor visual outcome. Many cases were senile and seemed to reflect the current state of population in Japan.

Copyright © 2020, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院