Bacterial Corneal Ulcer
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TCM Diagnosis for Bacterial Corneal Ulcer

Key points for diagnosis
(1) Preliminarily, the eye suffers from the subjective symptoms of sandy-unsmooth feeling, twinge with a burning sensation, photophobia, dacryorrhea, blepharospasm and visual disturbance. In severe cases, there may be dramatic headache and ophthalmagra and serious photophobia.
(2) Ciliary or mixed congestion appears and in the cornea occurs the dense inflammatory infiltration, which is usually round and grayish-whitish or yellow with cloudiness protruding on the surface edged obscurely.
(3) If the condition is not treated in time, the lesion may spread around and in depth, and the inflammatory infiltration of the cornea may become the yellowish-white ulcer which often advances serpiginously towards the central part and simultaneously goes deeply, causing purulent ulceration of the corneal stroma. The iris shows the severe inflammatory reaction in the form of hypopyon.
(4) If the course continues with the necrotic tissues scaling, there may appear descemetocele and, further, corneal perforation.  The final result is adhesive leukoma and serious visual disturbance. If bacteria invade the intraocular part through the perforation, endophthalmitis arises and the atrophy of the eyeball is caused in the end.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.


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