A Case of Fusarium Deep Keratitis Following Scleral Graft.
10.3341/jkos.2010.51.4.606
- Author:
Doo Hwan OH
1
;
Jae Chan KIM
;
Yeoun Sook CHUN
Author Information
1. Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea. yschun100@hanmail.net
- Publication Type:Case Report
- Keywords:
Fungal keratits;
Fusarium;
Intracameral Voriconazole
- MeSH:
Amnion;
Corneal Opacity;
Female;
Freezing;
Fusarium;
Humans;
Keratitis;
Middle Aged;
Pterygium;
Pyrimidines;
Sclera;
Transplants;
Triazoles
- From:Journal of the Korean Ophthalmological Society
2010;51(4):606-610
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of drug-resistant Fusarium deep keratitis following sclera graft. CASE SUMMARY: A 48-year-old woman, who underwent excision of the pterygium nine years previous, received a scleral graft for scleromalacia and ocular pain. After surgery, due to melting of the scleral graft and the presence of Fusarium deep keratitis, she received surgical and intensive medical treatment including three intracameral injections of antifungal agent, administration of topical voriconazole 1%, scleral re-graft, autologous conjunctival graft, and amniotic membrane transplantation. Nevertheless, the patient's ocular condition deteriorated with increased hypopyon, corneal opacity, and perforation. Enucleation was ultimately performed.
