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Traumatic fungal keratitis after cross-linking for keratoconus

Poster Details

First Author: B.Ekinci Koktekir TURKEY

Co Author(s):    B. Bozkurt   A. Karalezli           

Abstract Details

Purpose:

To present a case of fungal keratitis due to a vegetative trauma 1 month after having cross-linking surgery for keratoconus

Setting:

Department of Ophthalmology Selcuk University

Methods:

A 30 year-old patient who underwent crosslinking for keratoconus one month ago, was admitted to our clinic with complaints of pain and decreased visual acuity. The patient had a history of vegetable trauma just a few days before the hospital admission. The visual acuity was hand motions and 0.8 in the right and left eyes respectively. Biomicroscopic examination revealed 4 mm central corneal abscess.

Results:

Confocal microscopy of the patient revealed hyphae. The patient has started on oral fluconazole and topical treatment including variconazole, moxifloxacin and artificial tears. Amniotic membrane transplantation was performed two times during the course of medical treatment. Topical antibiotic was shifted to fortified cephazolin but, upon minimal healing of the ulcer, oral acyclovir was added to exclude the overlapping of a necrotizing herpetic keratitis. The patient regained some of the vision (0.4, in the right eye) and clinical findings have improved leaving only a central haze after 2 months of this therapy.

Conclusions:

Fungal keratitis is characterized with destructive and persistent corneal ulcers usually after vegetative trauma. Confocal microscopy is supportive for the diagnosis. Viral keratitis might accompany fungal keratitis in non-healing corneal ulcers especially crosslinking

Financial Disclosure:

NONE

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