ESCRS - PO272 - Infectious Keratitis After Cataract Surgery

Infectious Keratitis After Cataract Surgery

Published 2022 - 40th Congress of the ESCRS

Reference: PO272 | Type: ESCRS 2022 - Posters | DOI: 10.82333/41t0-g166

Authors: Ioanna Gardeli* 1 , Konstantina Mouriki 1 , Maria Orfanidou 2

1General Hospital of Athens G. Gennimatas,State Ophthalmology Clinic, Cornea Department, General Hospital of Athens G. Gennimatas, Greece,Athens,Greece, 2Microbiology Department,General Hospital of Athens G. Gennimatas,Athens,Greece

Purpose

The purpose of this paper is the presentation of the clinical course and management of a case complicated with fungal keratitis after cataract surgery.

Setting

This case is about an 88-year-old male with glaucoma and a history of cataract surgery in his right eye 3 weeks ago who presented to the outpatient clinic. The slit-lamp examination revealed conjunctival hyperaemia and painless keratitis with a central corneal ulcer in his right eye. He was using topical dexamethasone.

Methods

The superficial corneal swab was used for cultures and Polymerase Chain Reaction (PCR). PCR results were found to be positive for fungi. In this case cultures of Aspergillus tamarii were grown.

Results

In this case for the treatment of fungal keratitis we used tab Voriconazole and coll Voriconazole. We achieved good treatment efficacy and the clinical course of the patient was good in follow up.

Conclusions

Prompt diagnosis and treatment of fungal keratitis in a patient after cataract surgery is challenging and essential for a good visual outcome.