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Alternaria keratitis after uneventful clear-cornea phacoemulsification

Poster Details

First Author: S.khochtali TUNISIA

Co Author(s):    N. Abroug   A. Bouabana   I. Ksiaa   S. Zaouali   B. Jelliti   M. Khairallah

Abstract Details


To report a case of alternaria keratitis, four months after uneventful clear-cornea phacoemulsification.


Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.


A 42-year old woman, with a history of retinitis pigmentosa, presented with a painful red right eye four months after uneventful self-sealing clear-cornea phacoemulsification. Slit-lamp examination revealed multiple snow-like contiguous stromal infiltrates, with irregular margins, and no epithelial defect. These infiltrates were unresponsive to topical quinolones and topical corticosteroids as well as oral valaciclovir. Culture of corneal scrapes showed Alternaria species. Management consisted of topical amphotericin-B and voriconazole, in combination with oral voriconazole. The corneal abscess progressively healed. One year later, best-corrected visual acuity was 20/400.


Fungal infections, particularly alternaria keratitis, should be suspected, even many months after surgery. Prompt diagnosis and management are mandatory to improve visual prognosis.



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