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Journal of the Union of Scientists - Varna. Medicine and Ecology Series

An approach to inflammatory corneal diseases—the role of contemporary methods

Yordan Andreev, Evgeni Neshkinski


Aim: The aim of this article is to evaluate the opportunities for early diagnosis and treatment of inflammatory diseases of the cornea by means of contemporary methods.

Materials and Methods: A total of 32 patients with unilateral inflammatory diseases of the cornea of various etiology have been included in the study. A comprehensive ophthalmological examination with complimentary tests—an in vivo confocal microscopic and OCT of the interior segment—has been conducted.

Results: The preliminary diagnosis was revised in 14 out of 32 cases. The most common reason thereof has been an etiological inaccuracy in the initial diagnosis: bacterial, viral or fungal keratitis. The second most common reason outlined was the omission of a simultaneous illness—corneal dystrophy.   

Conclusion: The implementation of a modern algorithm of actions for corneal inflammatory diseases would facilitate faster diagnostics and improved treatment success. The correct approach to these diseases through a structured algorithm based on contemporary methods of diagnosis, treatment, and follow-up would produce a solid base for solving the existing issues.


cornea, inflammatory disease, algorithm

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