Dr. Bharat Gurnani

MBBS, DNB, FCRS, FICO, MRCS Ed, MNAMS

Consultant Cornea, Cataract and Refractive Services, Aravind Eye Hospital, Pondicherry, India

1 article

Dr. Bharat Gurnani pursued his MBBS from the prestigious Armed Forces Medical College, Pune, Maharashtra and then completed DNB from the prestigious Aravind Eye Hospital, Pondicherry. He also completed his Cornea and Microsurgery fellowship from the same place. He is a fellow of International College of Ophthalmology, Member of Royal College of Surgeons, Edinburgh (MRCS Ed) and Member of National Academy of Medical Sciences. He has keen interest in research and publication and has over 150 publications in various national and international journals and has written 5 book chapters. He is an avid reviewer has reviewed more than 270 manuscripts for various international journals. He is currently the Review Editor of Frontiers in Ophthalmology, Advisory Editorial Board Member of Ophthalmology and Therapy, Editor in Chief- Ophthalmology Stat pearls Publishing, Associate Editor- Clinical Case Reports Wiley, Section Editor- TJOSR and Scientific Committee member- ISMSICS. He is currently a junior consultant in Department of Cornea and Refractive Surgery, Aravind Eye Hospital, Pondicherry.

  1. Articles 29 Mar 2022 7 min read

    Corneal Ulcer Simplified for the Postgraduates: Ten Points

    An ulcer is a breach in the continuity of corneal epithelial. However, a corneal ulcer is an epithelial breach with superficial tissue loss (subepithelial or stroma) having variable grades of inflammation. The causes can be infectious (bacterial, fungal, viral, Pythium) and autoimmune (marginal keratitis, peripheral ulcerative keratitis). Here, we discuss ten essential clinical key points for diagnosing a corneal ulcer. 1. History A detailed and meticulous history is essential in each case. The patients commonly present with pain, redness, photophobia, and defective vision. The history of trauma (vegetative matter, stick, mud, clay, insect bite, etc.), onset, presentation, and progression should be noted. Sudden onset and rapid progression are associated with Pseudomonas, Pneumococcus, and Staphylococcus ulcers. Gradual onset and slow progression are seen in Acanthamoeba, Nocardia, and Mycobacterium. A detailed history of ocular (Contact lens, adnexal infections, ocular surface disease