Browsing by Author "Rana, Rachana Singh"
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Publication Bilateral Moraxella Keratitis in a Healthy Person after an Episode of Conjunctivitis: A Case Report(Nepal Medical Association, 2021) Bajracharya, Leena; Rana, Rachana SinghAbstract: Moraxella species are gram-negative diplobacilli and are rare cause of bacterial keratitis. We report a case of a 55-year-old woman presented with pain, redness and profound decrease in vision in both eyes for 2 weeks. One month back she had been treated as acute follicular conjunctivitis elsewhere. She had been treated with ofloxacin drops. On examination, she had central oval full-thickness infiltrate with thinning of cornea and hypopyon in both eyes. She had pseudomembrane in the tarsal conjunctiva. Corneal culture, done separately, showed isolation of Moraxella species, which was resistant to fluoroquinolones. She responded to fortified amikacin and ulcer healed with best-corrected vision of 6/24 and 6/18 in right and left eye respectively. Moraxella keratitis can cause severe keratitis. Conjunctivitis may be complicated by keratitis. Antibiotic resistance can cause problem. Bilateral keratitis should be referred promptly to higher centers if not responding well to treatment.Publication Recurrence of Avellino Corneal Dystrophy Following Penetrating Keratoplasty: A Case Report(Nepal Medical Association, 2021) Rana, Rachana Singh; Bajracharya, Leena; Gurung, ReetaAbstract: Granular – lattice (Avellino) corneal dystrophy is inherited in an autosomal dominant fashion which affects stroma of the cornea with recurrent erosions and decreased vision due to clouding of cornea in later stage. We reported a case of 53-year old woman presented with pain and blurring of vision of left eye for 10 days with history of right eye deep anterior lamellar dystrophy and Left eye penetrating keratoplasty 5years back for Avellino dystrophy. On examination right eye graft was clear and left eye showed circular edges of irregular epithelium with patchy stains and epithelial defect suggestive of recurrence of dystrophy. A patient with recurrent corneal erosions and opacity in cornea has to be examined carefully so as not to overlook Avellino corneal dystrophy. Being a rare disorder this case has been reported to draw the attention of ophthalmologists about its recurrence following keratoplasty.