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Alternaria keratitis after deep anterior lamellar keratoplasty.

Naik M - Middle East Afr J Ophthalmol (2014 Jan-Mar)

Bottom Line: Patient was treated for recurrent epithelial defect with a bandage contact lens in the follow-up visits after DALK.Subsequently, patient presented with pigmented fungal keratitis, which on culture examination of the corneal scrapping demonstrated Alternaria species.Patient did not have a recurrence for 11 months following the regraft.

View Article: PubMed Central - PubMed

Affiliation: Department of Cornea, Lotus Eye Care Hospital, Coimbatore, Tamil Nadu, India.

ABSTRACT
To describe a case of Alternaria keratitis in a 30-year-old male patient who presented with bilateral vascularised central corneal opacity and underwent deep anterior lamellar keratoplasty (DALK) in the left eye. Patient was treated for recurrent epithelial defect with a bandage contact lens in the follow-up visits after DALK. Subsequently, patient presented with pigmented fungal keratitis, which on culture examination of the corneal scrapping demonstrated Alternaria species. Patient had to undergo a repeat DALK as the keratitis did not resolve with medical therapy alone. Patient did not have a recurrence for 11 months following the regraft. This case report highlights the importance of considering the Alternaria species as a possibile cause of non-resolving fungal keratitis after DALK.

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10% potassium hydroxide mount showing filamentous fungi
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Figure 3: 10% potassium hydroxide mount showing filamentous fungi

Mentions: One week later, a large brown pigmented dry lesion was present on the graft [Figure 1b]. With a working diagnosis of keratitis, corneal scrapping was performed, which showed segmented filamentous fungi on 10% potassium hydroxide mount [Figure 2a] as well as on lactophenol blue stain [Figure 2b].


Alternaria keratitis after deep anterior lamellar keratoplasty.

Naik M - Middle East Afr J Ophthalmol (2014 Jan-Mar)

10% potassium hydroxide mount showing filamentous fungi
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3959051&req=5

Figure 3: 10% potassium hydroxide mount showing filamentous fungi
Mentions: One week later, a large brown pigmented dry lesion was present on the graft [Figure 1b]. With a working diagnosis of keratitis, corneal scrapping was performed, which showed segmented filamentous fungi on 10% potassium hydroxide mount [Figure 2a] as well as on lactophenol blue stain [Figure 2b].

Bottom Line: Patient was treated for recurrent epithelial defect with a bandage contact lens in the follow-up visits after DALK.Subsequently, patient presented with pigmented fungal keratitis, which on culture examination of the corneal scrapping demonstrated Alternaria species.Patient did not have a recurrence for 11 months following the regraft.

View Article: PubMed Central - PubMed

Affiliation: Department of Cornea, Lotus Eye Care Hospital, Coimbatore, Tamil Nadu, India.

ABSTRACT
To describe a case of Alternaria keratitis in a 30-year-old male patient who presented with bilateral vascularised central corneal opacity and underwent deep anterior lamellar keratoplasty (DALK) in the left eye. Patient was treated for recurrent epithelial defect with a bandage contact lens in the follow-up visits after DALK. Subsequently, patient presented with pigmented fungal keratitis, which on culture examination of the corneal scrapping demonstrated Alternaria species. Patient had to undergo a repeat DALK as the keratitis did not resolve with medical therapy alone. Patient did not have a recurrence for 11 months following the regraft. This case report highlights the importance of considering the Alternaria species as a possibile cause of non-resolving fungal keratitis after DALK.

Show MeSH
Related in: MedlinePlus