The effect of eye patching on the improvement of corneal epithelial layer and clinical symptoms in patients with UV keratitis

Repetitive contacts with UV-ray result in a shallow and painful keratopathy which takes place 6 hours after the contact with ray. It is generally agreed among the ophthalmologists that curing the minimal injuries (less than 60%) must be through chloramphenicol drop, erythromycin ointment and one cycloplegic drop in order to reduce the ciliary body spasm, and applying the bandage is still doubtful. In recent years the theory of not applying bandage on cornea injuries is becoming widely popular. The main goal of this study is designation the effect of eye patching on the improvement of corneal epithelial layer and clinical symptoms in patients with u.v keratitis. This study is one side blind in this way that examiner don’t know who of patient patch.at the first patient come to emergency unit and then visit by doctor and demolition of epithelial layer, visual actueness , pain, redness and tearing was measured with the special scalesl and patient Randomly placed into two groups one group with patch and other without patch. in both group we use drop cholobiotic and drop homatropine 2% and eye oint erythromycin in both of eyes and patient in patching group patch up and both group give training book.we follow up patient and after 12 hours demolition of epithelial layer and all symptoms check again. Entering criteria of this study are:1. satisfaction for partnership in this study 2. Keratitis at the result of u.v 3.does not exist foreign body in eyes and exit criteria are unwillingness for partnership in this study and no readmission after 12 hours. the main intervention of this study is patching. after 12 hours demolition of epithelial layer and all symptoms check again and they are compared with each other.

Gonabad University of Medical Sciences