ĐẶC ĐIỂM LÂM SÀNG CỦA NGƯỜI BỆNH VIÊM LOÉT GIÁC MẠC TẠI BỆNH VIỆN MẮT THÀNH PHỐ HỒ CHÍ MINH

Abstract

Background: Corneal ulceration is the most common cause of blindness in Vietnam. But most of the reports focus on evaluating the treatment results of corneal ulcers, and the clinical features of this disease have not been described much. Objectives: To determine the clinical features related to the prognostic factors in the diagnosis of corneal ulcers at the Ho Chi Minh City Eye Hospital. Methods: A case series descriptive study, retrospectively reviewing the medical records of patients diagnosed with infectious keratitis and treated as an inpatient at the Corneal Department, Ho Chi Minh City Eye Hospital. Results: The study noted that corneal ulcers were common at the average age of 54.9 ± 13.59 years old, most common in the group more than 60 years old. Research subjects from rural areas predominate. Common occupations are unskilled workers: farmers account for 40% and workers account for 17.5%. The majority of injuries are caused by accidents at work and in daily life. About the time from onset to hospital admission after 4 weeks, the rate is 55%. The total visual acuity at admission was less than 3m (100%). Corneal ulceration with deep infiltrates and severe grade (100%). Conclusion: Clinical features help guide early diagnosis of fungal keratitis: rough ulcer surface, feather margin, satellite lesion, and central location.