KERATITIS SECONDARY TO FUSARIUM SOLANI: A CASE REPORT

Published 2022 - 26th ESCRS Winter Meeting

Reference: P122 | Type: Abstracts | DOI: 10.82333/75fe-7r79

Authors: Robinson Barrientos* ¹ , Fermin Silva ² , Ana Luisa Gonzalez ² , Fernando Godin ¹ , Laura Alejandra Acevedo ¹ , María Pacheco ¹

¹Ophthalmology, Research Department,Clínica La Luz, Lima - Perú,Lima,Peru, ²Ophthalmology, Research Department,Clínica La Luz, Lima - Perú,Lima,-

Purpose

Fusarium solani is a filamentous fungi which can produce an aggressive fungal keratitis being considered one of the most difficult ocular pathologies to manage. The main risk factor for its development is ocular trauma. Early diagnosis and adequate therapeutic management are indispensable to avoid future complications.

Setting

Department of Ophthalmology, Research Department Clínica La Luz, Lima, Perú.

Methods

A 19-year-old healthy male patient with no contributory past medical history, who works as a farmer, referring eye pain, blurred vision, burning, foreign body sensation after corneal trauma with a tree branch in the left eye (LE). Best corrected visual acuity (BCVA): Hand motion. Biomicroscopy: Conjunctival injection, dense stromal infiltrate with central feathery edges 6x6 mm and hypopyon. Treated with vancomycin, voriconazole, ceftazidime fortified eye drops, intravenous itraconazole, corneal de-epithelization and daily control.

Results

Corneal de-epithelialization was performed in each control. After a month of follow-up, improvement of the keratitis was observed with a BCVA: 20/70. At 2 months of control BCVA: 20/50, biomicroscopy: central leukoma of 4x4mm, with mild stromal thinning, formed anterior chamber, clear crystalline lens. Phototherapeutic keratectomy (PTK) is offered in 3 months.

Conclusion

Perform an early diagnosis and an appropriate treatment with intravenous antibiotics and eye drops as well as serial corneal de-ephitelization are important to treat the pathology, prevent corneal perforation and avoid a penetrating keratoplasty (PK).