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. 1985 Dec;69(12):920–926. doi: 10.1136/bjo.69.12.920

Corneal ulceration at an urban African hospital.

T R Carmichael, M Wolpert, H J Koornhof
PMCID: PMC1040883  PMID: 3936534

Abstract

During a one-year survey 283 corneal ulcers from 274 patients were seen at St John's Eye Unit of Baragwanath Hospital. Central bacterial ulcers constituted the largest problem, and the commonest isolate in this group was Streptococcus pneumoniae. Mycotic and dendritic keratitis were relatively uncommon, while marginal catarrhal ulceration secondary to chronic staphylococcal lid disease was frequently seen. The microbiology of the various ulcers is described, and the placing of organisms into classes is stressed in determining significance of isolates. Many of the patients were male Africans who were either manual labourers or unemployed. Half the patients had used topical antibiotics before presentation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Appelbaum P. C., Bhamjee A., Scragg J. N., Hallett A. F., Bowen A. J., Cooper R. C. Streptococcus pneumoniae resistant to penicillin and chloramphenicol. Lancet. 1977 Nov 12;2(8046):995–997. doi: 10.1016/s0140-6736(77)92892-6. [DOI] [PubMed] [Google Scholar]
  2. Asbell P., Stenson S. Ulcerative keratitis. Survey of 30 years' laboratory experience. Arch Ophthalmol. 1982 Jan;100(1):77–80. doi: 10.1001/archopht.1982.01030030079005. [DOI] [PubMed] [Google Scholar]
  3. Baum J., Fedukowicz H. B., Jordan A. A survey of Moraxella corneal ulcers in a derelict population. Am J Ophthalmol. 1980 Oct;90(4):476–480. doi: 10.1016/s0002-9394(14)75014-7. [DOI] [PubMed] [Google Scholar]
  4. Bron A. J. A simple scheme for documenting corneal disease. Br J Ophthalmol. 1973 Sep;57(9):629–634. doi: 10.1136/bjo.57.9.629. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dankert J., Holloway Y., Bouwma J. Bacterial synergy in mixed aerobic/anaerobic infections. Lancet. 1980 Mar 29;1(8170):714–714. [PubMed] [Google Scholar]
  6. GINGRICH W. D., PINKERTON M. E. Anaerobic actinomycosis bovis corneal ulcer. Arch Ophthalmol. 1962 May;67:549–553. doi: 10.1001/archopht.1962.00960020549004. [DOI] [PubMed] [Google Scholar]
  7. Gugnani H. C., Talwar R. S., Njoku-Obi A. N., Kodilinye H. C. Mycotic keratitis in Nigeria. A study of 21 cases. Br J Ophthalmol. 1976 Sep;60(9):607–613. doi: 10.1136/bjo.60.9.607. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Harrison S. M. Grading corneal ulcers. Ann Ophthalmol. 1975 Apr;7(4):537-9, 541-2. [PubMed] [Google Scholar]
  9. Jacobs M. R., Koornhof H. J., Robins-Browne R. M., Stevenson C. M., Vermaak Z. A., Freiman I., Miller G. B., Witcomb M. A., Isaäcson M., Ward J. I. Emergence of multiply resistant pneumococci. N Engl J Med. 1978 Oct 5;299(14):735–740. doi: 10.1056/NEJM197810052991402. [DOI] [PubMed] [Google Scholar]
  10. Jones D. B. Early diagnosis and therapy of bacterial corneal ulcers. Int Ophthalmol Clin. 1973 Winter;13(4):1–29. [PubMed] [Google Scholar]
  11. Jones D. B. Initial therapy of suspected microbial corneal ulcers. II. Specific antibiotic therapy based on corneal smears. Surv Ophthalmol. 1979 Sep-Oct;24(2):97, 105-16. doi: 10.1016/0039-6257(79)90128-0. [DOI] [PubMed] [Google Scholar]
  12. Jones D. B., Robinson N. M. Anaerobic ocular infections. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977 Mar-Apr;83(2):309–331. [PubMed] [Google Scholar]
  13. Liesegang T. J., Forster R. K. Spectrum of microbial keratitis in South Florida. Am J Ophthalmol. 1980 Jul;90(1):38–47. doi: 10.1016/s0002-9394(14)75075-5. [DOI] [PubMed] [Google Scholar]
  14. Majekodunmi S., Odugbemi T. Clostridium welchii corneal ulcer--a case report. Can J Ophthalmol. 1975 Apr;10(2):290–292. [PubMed] [Google Scholar]
  15. Ostler H. B., Okumoto M. Anaerobic streptococcal corneal ulcer. Am J Ophthalmol. 1976 Apr;81(4):518–519. doi: 10.1016/0002-9394(76)90313-5. [DOI] [PubMed] [Google Scholar]
  16. Perry L. D., Brinser J. H., Kolodner H. Anaerobic corneal ulcers. Ophthalmology. 1982 Jun;89(6):636–642. doi: 10.1016/s0161-6420(82)34741-7. [DOI] [PubMed] [Google Scholar]
  17. TSUTSUI J. Tetanus infection of cornea; its treatment with achromycin. Am J Ophthalmol. 1957 May;43(5):772–774. [PubMed] [Google Scholar]
  18. Thygeson P. ACUTE CENTRAL (HYPOPYON) ULCERS OF THE CORNEA. Calif Med. 1948 Jul;69(1):18–21. [PMC free article] [PubMed] [Google Scholar]

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