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Cornea - I Free Papers - aioseducation

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<strong>Cornea</strong> <strong>Free</strong> <strong>Papers</strong><br />

neovascularization, in experimental herpes simplex keratitis, and in studies<br />

from human corneal buttons.<br />

Also, VEGF inhibition has been shown to reduce corneal neovascularization<br />

and improve corneal graft survival inexperimental animals.<br />

In our study, we assessed the change in the area of pathologic vessels within<br />

the cornea, whereas our grading system evaluated which of the 3 components<br />

(extent, centricity, and density) responded most to the bevacizumab injection.<br />

Indeed, a significant change in extent and density was shown, whereas<br />

centricity of vessels did not react to the subconjunctival injection. Possibly, the<br />

perilimbal application of the drug did not reach the more central part of the<br />

vessel in the deep cornea. It is possible that these central vessels would respond<br />

to a stromal injection rather than a perilimbal subconjunctival injection.<br />

In conclusion, subconjunctival bevacizumab injection is efficacious in limiting<br />

corneal neovascularization in human subjects. Whether this partial regression<br />

of blood vessels is of clinical value needs to be studied in a randomized clinical<br />

trial with a larger sample size and longer follow-up. Bevacizumab may also be<br />

used in the future, as an adjunct to other drugs, for the treatment of corneal<br />

neovascularization.<br />

Neonatal Infectious Keratitis Five Years<br />

Experience at a Tertiary Eye Care Center<br />

Dr. Jatin Ashar, Dr. Muralidyhar R, Dr. Shivani Pahuja, Dr. Sunita<br />

Chaurasia, Dr. Virender Sangwan<br />

Neonatal keratitis is a serious, vision- threatening disease. Infections in this<br />

age group are difficult to diagnose, manage and are uniquely at a grave<br />

risk for secondary amblyopia. Several large studies on microbial keratitis have<br />

been reported in children 1,2 however, literature on neonatal infectious keratitis<br />

is limited.<br />

To study the epidemiology, predisposing factors, clinico-microbial profile and<br />

outcomes of neonatal microbial keratitis.<br />

Study design: Retrospective, non consecutive, interventional case series.<br />

MATERIALS AND METHODS<br />

Medical records of 34 neonates (42 eyes) were analyzed for the age at<br />

presentation, predisposing factors, systemic illness, clinical presentation,<br />

microbiological profile, clinical course and outcomes. Examination was<br />

performed using operating/ portable slit lamp microscope with /without<br />

495

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