Which of the following is not given as eye drops in corneal ulcer
Ans. c. Flurometholone Flurometholone: Flurometholone is a steroid. Topical coicosteroids and anestheticsQ are contraindicated in bacterial ulcers Latest trial about the use of topical steroids in corneal ulcer-"Adjunctive topical coicosteroid use does not improve 3-month vision in patients with bacterial corneal ulcers."- Olapatadine: Used in treatment of allergic conjunctivitis. Can be used in treatment of refractory vernal ulcers Chloroamphenicol: Topical chloramphenicol is recommended for treatment of bacterial corneal ulcer.\\ Methylcellulose: Used as a lubricant to prevent corneal ulcers in dry eye Topical coicosteroids and anestheticsdeg are contraindicated in corneal ulcer. These should not be used on any type of corneal ulcer because: They prevent healingdeg May lead to superinfection with fungi and other bacteriadeg Often make the condition much worse Treatment of Corneal Ulcers Proper diagnosis is essential for optimal treatment Bacterial corneal ulcers Intensive foified antibiotic therapy to treat the infectionQ Fungal corneal ulcers Intensive application of topical anti-fungal agentsQ Viral corneal ulcers For herpes virus, antivirals like topical acyclovir ointment instilled at least five times a dayQ Treatment of Corneal Ulcers Suppoive therapy: Pain medications are given, including topical cycloplegics like atropine or homatropinedeg to dilate the pupil and thereby stop spasms of the ciliary muscledeg. Superficial ulcers may heal in less than a week. Deep ulcers and descemetoceles may require conjunctival grafts orconjunctival flaps, soft contact lenses, or corneal transplantQ. Proper nutrition, including protein intake and Vitamin C are usually advised. In cases of Keratomalacia, where the corneal ulceration is due to a deficiency of Vitamin A, supplementation of the Vitamin A by oral or intramuscular route is given Drugs contraindicated in Corneal Ulcer Topical coicosteroids and anestheticsQ These should not be used on any type of corneal ulcer because: They prevent healingQ May lead to superinfection with fungi and other bacteriaQ Often make the condition much worseQ
Chloroamphenicol
Methylcellulose
Flurometholone
Olaptadine