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Fusarium keratouveitis in contact lens wearer: a case report

Poster Details

First Author: M.Solomatin LATVIA

Co Author(s):    S. Veldre   D. Vaganova   T. Petrova        

Abstract Details



Purpose:

To analyze the clinical case of fusarium keratouveitis and to present the importance of confocal microscopy in the early diagnostics of corneal inflammatory diseases.

Setting:

The study was conducted at the opthalmology department of Riga East Clinical University Hospital from 19.02.2014 to 14.03.2014.

Methods:

Young male patient 33 years old, contact lens wearer, 14 years I. type diabetes mellitus anamnesis was presented in the ophthalmology department with complaints of decreased vision acuity with the left eye (finger count), pain, corneal syndrome. Wide corneal infiltrate and hypopion was visualized during the slit lamp examination. 1 week prior the appearance to eye department the patient had work trauma - corneal erosion after an eye injury by a small peace of stone. The microbiological material was collected from the ulcer and ex-juvantibus treatment was started. On the 3rd day the incision of the corneal abscess was performed. Negative dynamics. Hypopion increased. Fusarium infection of corneal material, contact lens and contact lens fluid was reported on 5th day of treatment. Selective treatment was added. No positive dynamics. Penetrating corneal transplantation was performed. Post Op period without hypopion so far. Confocal microscopy was performed on removed cornea - hyphae were visualized.

Results:

The study shows that the diagnosis of fusarium infection was not diagnosed initially. Penetrating keratoplasty and gentle aspiration of the hypopion helped to stop the progression of the disease.

Conclusions:

Initial misdiagnosis of fungal infection is common because early presentations are variable. Culture examination are necessary for diagnosis, but frequently they are time-consuming. In - Vivo confocal microscopy is noninvasive imaging technique that provide high resolution corneal images and can help to come to right diagnosis quicker FINANCIAL INTEREST: NONE

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