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Abstract
A 51-year-old, non-diabetic male with a history of trauma to his right eye with a coconut leaf 10 days ago presented with pain, watering, redness, and intolerance to light for the past 5 days.
Examination Findings: Visual acuity, hand movements (HM+) in the right eye. Corneal infiltrate of size 4x4 mm observed in the inferotemporal quadrant. Pigmentation was noted at the site of the infiltrate; the surrounding cornea demonstrated edema. The anterior chamber showed 2+ flare and 2+ cells. No hypopyon. The pupil was sluggishly reacting to light.
The patient was using Moxifloxacin eye drops 6 times, prescribed from the peripheral center.
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References
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- Westblade LF. Larone’s medically important fungi: a guide to identification. 7th edn. CBS Publishers and Distributors Pvt Ltd 2023.
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- Baskaran S, Thomas PA. Fungal keratitis: diagnosis and treatment. Ophthalmology Clinics of North America 2007;20(4):343-58.
- Thomas PA, Kaliamurthy J. Fungal infections of the cornea. Indian Journal of Ophthalmology 201361(5):289-90.
References
Chander J. Text book of medical mycology. 4th edn. Jaypee Brothers Medical Publishers 2018.
Westblade LF. Larone’s medically important fungi: a guide to identification. 7th edn. CBS Publishers and Distributors Pvt Ltd 2023.
Thomas PA, Kaliamurthy J. Fungal keratitis: epidemiology, diagnosis, and management. Clinical Microbiology Reviews 2009;22(1):106-13.
Garg P, Gopinathan U, Choukhary K, et al. Keratomycosis: Clinical and microbiologic experience with dematiaceous fungi. Ophthalmology 2000;107:574-80. DOI: https://doi.org/10.1016/S0161-6420(99)00079-2
Sharma S, Agarwal P. Fungal keratitis: an emerging problem in India. Indian J Ophthalmol 2008;56(6):447-53.
de Hoog GS, Guarro J, eds. Atlas of clinical fungi. Baarn, The Netherlands: Centraalbureau voor Schimmelcultures 1995.
Baskaran S, Thomas PA. Fungal keratitis: diagnosis and treatment. Ophthalmology Clinics of North America 2007;20(4):343-58.
Thomas PA, Kaliamurthy J. Fungal infections of the cornea. Indian Journal of Ophthalmology 201361(5):289-90.