Aspergillus keratitis after radial keratotomy.
case_report · Level V
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- Record sourced from PubMed, PMID 7639314.
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Abstract
A case of severe Aspergillus keratitis after radial keratotomy manifested as a discrete midstromal infiltrate along a radial incision. Despite aggressive treatment with topical amphotericin B and oral itraconazole, the patient required a therapeutic penetrating keratoplasty. Histopathologic examination disclosed a corneal ulcer with numerous septate, branching hyphae throughout the stroma, and marked stromal necrosis. Aspergillus species should be included among the microbial pathogens responsible for infectious keratitis after radial keratotomy. If infectious keratitis is suspected, comprehensive cultures for bacteria and fungi should be obtained.
Medical subject headings
- Aspergillosis
- Aspergillus fumigatus
- Corneal Ulcer
- Eye Infections, Fungal
- Keratotomy, Radial