Gummous keratitis

Keratitis is an inflammation of the cornea of ​​the eye. Keratitis, by nature and clinical manifestations, is divided into acute and chronic, glandular and non-glandular, primary and secondary, infectious, allergic, parasitic, etc. Gummous keratitis is distinguished by the absence of severe redness of the eyes with stripes of gummosis or velvety, noticeable by palpation. Typically, patients have malaise, conjunctival hyperemia, and moderate pericorneal sclerosis. The cornea may be cloudy, dry, or have a corneal formation. With posterior capsular gummosis, the outcome is decreased vision due to exudative inflammatory cataracts, with keratosclerosing gummosis - phakitis cataract. When the posterior parts of the cornea are damaged, color perception deteriorates and amblyopia is possible. The gummous form of keratitis can occur either as a lesion of the corneal epithelium or as a result of keratoiridocyclitis. This division is important when deciding the volume of treatment. The course of gummous keratitis is often acute; in the acute stage, gumma requires the receipt of trophic and medicinal agents; patients require urgent emergency surgical care. In the chronic stage, prevention of relapses and conservative treatment to combat complications are primarily indicated [2].