Keratomalacia

Keratomalacia

• Non-infective ulceration and melting of the cornea

  • Vitamin A (malnourished infants or malabsorption in adults)

• Clinical Picture

  • Loss of corneal luster

  • Melting of the cornea

  • No inflammatory reaction (quite eye)

  • Corneal hypothesis

  • 2ry infection → Endophthalmitis

• Treatment

  • Vit. A injection (200,000 IU/day) & Treatment of hypoproteinemia (fresh plasma)
  • Topical vit. A in early cases
  • Surgical Treatment in late cases:
    • Therapeutic CL
    • penetrating keratoplasty (PK)