Dr. Meena Lakshmipathy

Senior Consultant, Cornea Services , Sankara Nethralaya

2 articles

Dr Meena Lakshmipathy MS,is a senior Cornea consultant working in Medical Research Foundation. She completed MMBS from Stanley medical college Chennai in 1997 and subsequently completed MS Ophthalmology from Govt Rajai Hospital, Madurai Medical college in 2001.She completed Cornea and Anterior segment fellowship in 2004 from LV Prasad Eye institute. Hyderbad and worked as a cornea consultant at GMRV LV Prasad Eye Institute .Her main interest include microbial keratitis, paediatric corneal disorders and lamellar corneal surgeries.

  1. Articles 1 Apr 2021 39 min read

    Fungal Keratitis: A Review for the Post-Graduates

    Introduction Fungal or mycotic keratitis is a leading cause of ocular morbidity, opacification and preventable blindness.1 The approximate annual incidence of fungal keratitis in India is said to be 11.3/10,000 population.2 Frequently it is caused by filamentous fungi (Aspergillus, Fusarium, Curvularia) in the tropical areas, while in temperate regions it is predominantly caused by Candida species (C. albicans, C. Parapsilosis). It is considered as one of the most difficult forms of microbial keratitis for the Ophthalmologist to diagnose and manage. Medical therapy alone is often inadequate and surgical therapy like therapeutic penetrating keratoplasty, conjunctival flap, lamellar keratoplasty or cryotherapy is required for control of infection. Epidemiology and Demographics Fungal keratitis incidence or prevalence is more in tropical regions of the world like India and Southern USA and is less commonly encountered in the temperate zones.3 In East India, fungal keratitis was found to b

  2. Articles 1 Apr 2021 6 min read

    Ten Pearls for Corneal Scrapping

    The management of microbial keratitis requires corneal scraping material for smear and culture. Scraping is a superficial keratectomy procedure to procure samples from central infiltrates or any infiltrate more than 2 mm in size. Stain/ wet mount gives a rapid clue to the diagnosis to initiate appropriate therapy. Inoculation of the sample on culture media help identify the offending organism and antibiogram help choose an appropriate therapeutic agent. Erasmus Darwin the grandfather of Charles Darwin was the first to suggest corneal therapeutic debridement to try and make cornea transparent in 1795. 1. Proper documentation of corneal ulcer should be done before going ahead with corneal scraping Before corneal scraping is planned it is important to document the corneal ulcer either diagrammatically or by photo documentation as this helps in showing progression or worsening of the therapeutic management. Areas of clinically active margins should be noted and always check the area of max