CHARACTERISTICS OF POST-TRAUMATIC CORNEAL ULCERS

Evaluation of clinical and laboratory characteristics of patients who applied to the National Ophthalmology Center named after Academician Zarifa Aliyeva with post-traumatic corneal ulcers.

According to the World Health Organization, after cataracts, corneal injuries is the second cause of blindness in the world. Corneal injuries account for 51% of eye injuries. The main cause of poor vision after corneal damage is the various degrees of scarring and opacities that occur after the damage. Corneal ulcers are always followed by varying degrees of opacities.

The study included 60 patients with post-traumatic corneal ulcers who applied to the National Centre of Ophthalmology named after acad. Zarifa Aliyeva. Of these 42 are men, 18 are women. The age of patients ranged from 15 to 78 years. Of these, 16 people are residents of Baku, 44 - rural residents. In 33 of the patients, the injury factor was of iron origin, in 12 of them it was a tree branch, in 2 person it was a wood scrap, in 4 people it was a stone, and in 2 person it was of clay origin. 7 patients do not know exactly what the injury factor. Corneal ulcer was located in the paraoptic area in 28 people, in the center in 16 people, and in the periphery in 4 people. Common corneal ulcer was noted in 12 patients. Patients applied to our Center from 2 days to 3 months after receiving an injury. 35 of these patients (58%) received local conservative treatment before referring to us.

As a result of the treatment healing was observed in 56 patients. Despite conservative treatment in 2 patient there was a total corneal abscess, the patient was offered biological coverage, but the patient refused the operation. In 2 patient the biological coating was melted, evisceration was performed. It is worth noting that Proteus mirabilis was found in a microbiological study of both patients. The study revealed that in these patients a foreign body was removed from the iron without proper aseptic rules. As a result, patients have developed aggressive microflora that cannot be treated. The remaining patients showed higher rates and healing.

Proper clinical and lobarotor diagnostics and timely treatment of corneal ulcers can improve the quality of life of patients and help them achieve significant results in the prevention of blindness and reduce disability due to corneal clouding.