Delhi Journal of Ophthalmology

Complicated Diabetic Keratopathy: A Case Report

Pooja Shukla, Balmukund Agarwal, Erani Borah, Nilutparna Deori
Sri Sankaradeva Nethralaya, Guwahati, Assam, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Pooja Shukla
DNB (Opth.)
Sri Sankaradeva Nethralaya,  96, Basistha Road, Beltola, 
Guwahati - 781028, Assam, India
Email id: dr.dd26@gmail.com


Received: 25-MAR-2019 Accepted: 12-AUG-2019 Published Online: 27-FEB-2020
DOI: https://dx.doi.org/10.7869/djo.511

Abstract
The altered ocular surface milieu in diabetics has been a subject of research in recent times. Consequently, diabetic keratopathy is increasingly being recognized as a cause of slow and complicated wound healing of the cornea. We report a case of a young, type I diabetic male with uncontrolled blood sugars at the time of presentation. He presented to us with a 1.5 x 2 mm sterile corneal infiltrate which progressed to a large ulcer with hypopyon unresponsive to topical therapy and threatening ocular integrity. He improved only with a tight control of glycaemic status and supportive ocular therapy over a unusually long period of 4 months. We conclude that in this case of keratopathy complicated by ulceration, a tight glycaemic control was the key to healing and stabilization of the ocular surface.

Keywords :Diabetic Keratopathy, slow healing, tight glycaemic control