Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study

Purpose. This work aims to study the problems encountered with and the different epidemiological features of patients with fungal keratitis. Patients and Methods. All cases with keratitis attending the Outpatient Clinic of Ophthalmology Department at Tanta University Hospital during three years from...

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Main Authors: Mohammad M. Khater, Nehal S. Shehab, Anwar S. El-Badry
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/254302
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author Mohammad M. Khater
Nehal S. Shehab
Anwar S. El-Badry
author_facet Mohammad M. Khater
Nehal S. Shehab
Anwar S. El-Badry
author_sort Mohammad M. Khater
collection DOAJ
description Purpose. This work aims to study the problems encountered with and the different epidemiological features of patients with fungal keratitis. Patients and Methods. All cases with keratitis attending the Outpatient Clinic of Ophthalmology Department at Tanta University Hospital during three years from the first of January 2011 to the end of December 2013 were selected and carefully examined and cases with mycotic keratitis were further examined and investigated. Results. From 66303 attendants during this period with different complaints, there were 361 cases (0.54%) with mycotic keratitis and 473 cases (0.71%) of nonmycotic origin. Mycotic keratitis is common between 40 and 60 years, more in farmers (64%), families with large number and large crowding index, rural than urban residence, and patients with outdoor water sources and insanitary sewage disposal. Positive fungal cultures were obtained in 84.5% and were negative in 15.5% of cases in spite of their typical clinical findings for diagnosis and their improvement with antifungal therapy. Conclusion. Mycotic keratitis is more frequent in farmers, rural areas, outdoor water supply, insanitary sewage disposal, and patients preceded with organic trauma. Atypical clinical findings were found in some cases and not all cases improved with specific antifungal therapy.
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spelling doaj-art-0cb9586c9f394085be8cf6d576505e2d2025-08-20T03:54:15ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/254302254302Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological StudyMohammad M. Khater0Nehal S. Shehab1Anwar S. El-Badry2Ophthalmology Department, Tanta University, Gharbeya Governorate, El Geish Street, Tanta 31111, EgyptPublic Health Department, Tanta University, Gharbeya Governorate, El Geish Street, Tanta 31111, EgyptBotany Department, Faculty of Science, Tanta University, Gharbeya Governorate, El Geish Street, Tanta 31111, EgyptPurpose. This work aims to study the problems encountered with and the different epidemiological features of patients with fungal keratitis. Patients and Methods. All cases with keratitis attending the Outpatient Clinic of Ophthalmology Department at Tanta University Hospital during three years from the first of January 2011 to the end of December 2013 were selected and carefully examined and cases with mycotic keratitis were further examined and investigated. Results. From 66303 attendants during this period with different complaints, there were 361 cases (0.54%) with mycotic keratitis and 473 cases (0.71%) of nonmycotic origin. Mycotic keratitis is common between 40 and 60 years, more in farmers (64%), families with large number and large crowding index, rural than urban residence, and patients with outdoor water sources and insanitary sewage disposal. Positive fungal cultures were obtained in 84.5% and were negative in 15.5% of cases in spite of their typical clinical findings for diagnosis and their improvement with antifungal therapy. Conclusion. Mycotic keratitis is more frequent in farmers, rural areas, outdoor water supply, insanitary sewage disposal, and patients preceded with organic trauma. Atypical clinical findings were found in some cases and not all cases improved with specific antifungal therapy.http://dx.doi.org/10.1155/2014/254302
spellingShingle Mohammad M. Khater
Nehal S. Shehab
Anwar S. El-Badry
Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study
Journal of Ophthalmology
title Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study
title_full Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study
title_fullStr Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study
title_full_unstemmed Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study
title_short Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study
title_sort comparison of mycotic keratitis with nonmycotic keratitis an epidemiological study
url http://dx.doi.org/10.1155/2014/254302
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