Use of traditional eye medicines by patients with corneal ulcer in India

Background: Instillation of traditional eye medicines (TEMs) into the eye is one of the causes associated with poor visual outcome and corneal blindness. Objective: To determine the use of TEM and factors for its use in patients with corneal ulcer. Materials and Methods: This prospective study was conducted on 189 new patients with corneal ulcer attending cornea clinic of Gandhi Memorial Hospital, Rewa, Madhya Pradesh (India). After complete eye examination, information was collected for use of TEM, sociodemographic profile, symptoms necessitating its use, and complication. Necessary treatment was given and final visual outcome was noted. Lab investigations were performed to identify organism. Result: TEM was used by 38% subjects, especially females and subjects residing in rural areas were found to be significantly associated with its use. Majority of TEM users were farmers (51.4%). The most common symptom was poor vision (66.7%) for use of TEM. Breast milk (40%) and plant products (29%) were most commonly applied TEMs. Central and entire corneal involvement was found to be significantly high among TEM users. Scarring and perforation occurred in 70.8% and 31.9% TEM users, respectively. No significant difference was found between organism identified and the use of TEM. Visual acuity up to 6/18 was found to be higher among non-TEM users (23.9%) as compared to TEM users (9.7%). At presentation, 38.9% TEM users had already lost their vision. Significant difference was found between presenting visual acuity and final visual acuity achieved in both groups. Conclusion: Intensive health education is needed for encouraging the uptake of eye care services, particularly in rural areas.