Saudi Journal of Medical and Pharmaceutical Sciences (SJMPS)
Volume-8 | Issue-08 | 411-414
Original Research Article
Comparative Study of Corneal Collagen Crosslinking (CXL) in Conjunction with Antimicrobial Agents to Antimicrobial Agents Alone in the Treatment of Infectious Keratitis
Ester Sekhose, J. P Chugh, Vandana Sharma, R. S Chauhan, Ashok Rathi, Apoorva Goel
Published : Aug. 22, 2022
Abstract
Purpose: To compare the outcome of corneal collagen crosslinking (CXL) in conjunction with antimicrobial agents (AMA) to antimicrobial agents alone in the treatment of infectious keratitis. Design: Prospective comparative clinical trial in a tertiary hospital in India. Participants: 40 patients with infectious keratitis randomised into two groups of 20 patients each- Group 1 and 2. Methods: Group 1 patients underwent CXL in addition to antimicrobial therapy. The patients in Group 2 received only antimicrobial therapy. The slit-lamp characteristics of the corneal ulceration, visual acuity, time taken for healing, and complications were documented in each group. The t-test was used for statistical analysis. P values less than 0.05 were considered statistically significant. Results: The mean time taken for healing in Group 1 was 44.5±11.2 days and in Group 2 was 27.65±7.79 days. Analysis of various parameters revealed that patients undergoing CXL showed slower healing duration (p=0.00). Conclusions: Use of CXL in conjunction with AMA lowers the risk of complications, but also slows the rate of healing of ulcers.