An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia
Introduction: Microbial keratitis (MK) is an important cause for corneal blindness and understanding its risk factors enable us to improve management and minimise its complications. Methods: In this retrospective case review, medical records of all patients treated for MK from 2006 to 2013 was analy...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2017
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| Online Access: | http://psasir.upm.edu.my/id/eprint/58283/1/2017082916074706_MJMHS_Vol13_No2_2017_-_0019_-_5th_proof.pdf |
| _version_ | 1796976868753145856 |
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| author | Omar, Nazri Abdul Muna'aim, Maimunah Md. Saleh, Rafidah Mohd Kasim, Zaidah Mohd Isa, Muhammad |
| author_facet | Omar, Nazri Abdul Muna'aim, Maimunah Md. Saleh, Rafidah Mohd Kasim, Zaidah Mohd Isa, Muhammad |
| author_sort | Omar, Nazri |
| collection | UPM |
| description | Introduction: Microbial keratitis (MK) is an important cause for corneal blindness and understanding its risk factors enable us to improve management and minimise its complications. Methods: In this retrospective case review, medical records of all patients treated for MK from 2006 to 2013 was analysed to know the socio-demography, preceding risk factors, clinical characteristics, causative organisms and final visual outcome. Results: A total of 174 patients (180 eyes) were included in this study. Identifiable ocular risk factors included contact lens (CL) usage (85, 47.2%), ocular trauma (50, 27.8%), ocular surface disease (21, 11.6%), steroid use (6, 3.3%) and immuno-compromy (19, 10.5%). Association factors for presenting uncorrected visual acuity (UCVA) were age group (p=0.013), size (p<0.001), location (p<0.001) and hypopyon (p<0.001). The predictors for final best spectacle-corrected visual acuity (BSCVA) were age group (p<0.001), nationality (p=0.020), occupation (p<0.001), CL use (p<0.001), ocular surface disease (p=0.048), size (p<0.001) and location (p<0.044), hospitalisation duration (p=0.002) and presenting UCVA (p<0.001). Conclusions: Contact lens was the most frequent predisposing risk factor for microbial keratitis, followed by ocular trauma. Understanding the association factors for presenting vision and predictors for final vision may help in the patients’ management and improve eventual outcome of microbial keratitis. |
| first_indexed | 2024-03-06T09:31:55Z |
| format | Article |
| id | upm.eprints-58283 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T09:31:55Z |
| publishDate | 2017 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| record_format | dspace |
| spelling | upm.eprints-582832018-01-26T09:43:39Z http://psasir.upm.edu.my/id/eprint/58283/ An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia Omar, Nazri Abdul Muna'aim, Maimunah Md. Saleh, Rafidah Mohd Kasim, Zaidah Mohd Isa, Muhammad Introduction: Microbial keratitis (MK) is an important cause for corneal blindness and understanding its risk factors enable us to improve management and minimise its complications. Methods: In this retrospective case review, medical records of all patients treated for MK from 2006 to 2013 was analysed to know the socio-demography, preceding risk factors, clinical characteristics, causative organisms and final visual outcome. Results: A total of 174 patients (180 eyes) were included in this study. Identifiable ocular risk factors included contact lens (CL) usage (85, 47.2%), ocular trauma (50, 27.8%), ocular surface disease (21, 11.6%), steroid use (6, 3.3%) and immuno-compromy (19, 10.5%). Association factors for presenting uncorrected visual acuity (UCVA) were age group (p=0.013), size (p<0.001), location (p<0.001) and hypopyon (p<0.001). The predictors for final best spectacle-corrected visual acuity (BSCVA) were age group (p<0.001), nationality (p=0.020), occupation (p<0.001), CL use (p<0.001), ocular surface disease (p=0.048), size (p<0.001) and location (p<0.044), hospitalisation duration (p=0.002) and presenting UCVA (p<0.001). Conclusions: Contact lens was the most frequent predisposing risk factor for microbial keratitis, followed by ocular trauma. Understanding the association factors for presenting vision and predictors for final vision may help in the patients’ management and improve eventual outcome of microbial keratitis. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2017 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/58283/1/2017082916074706_MJMHS_Vol13_No2_2017_-_0019_-_5th_proof.pdf Omar, Nazri and Abdul Muna'aim, Maimunah and Md. Saleh, Rafidah and Mohd Kasim, Zaidah and Mohd Isa, Muhammad (2017) An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia. Malaysian Journal of Medicine and Health Sciences, 13 (2). pp. 47-57. ISSN 1675-8544 http://www.medic.upm.edu.my/upload/dokumen/2017082916074706_MJMHS_Vol13_No2_2017_-_0019_-_5th_proof.pdf |
| spellingShingle | Omar, Nazri Abdul Muna'aim, Maimunah Md. Saleh, Rafidah Mohd Kasim, Zaidah Mohd Isa, Muhammad An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia |
| title | An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia |
| title_full | An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia |
| title_fullStr | An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia |
| title_full_unstemmed | An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia |
| title_short | An 8-year retrospective review of microbial keratitis in a secondary referral centre in Malaysia |
| title_sort | 8 year retrospective review of microbial keratitis in a secondary referral centre in malaysia |
| url | http://psasir.upm.edu.my/id/eprint/58283/1/2017082916074706_MJMHS_Vol13_No2_2017_-_0019_-_5th_proof.pdf |
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