Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis
Penetrating keratoplasty is indicated for cases of severe microbial keratitis, particularly if associated with impending corneal perforation. The case report details a 45-year-old male farmer who consulted for blurring of vision in the left eye after an incident wherein mud was flung onto his eye du...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
German Medical Science GMS Publishing House
2020-04-01
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| Series: | GMS Ophthalmology Cases |
| Online Access: | http://www.egms.de/static/en/journals/oc/2020-10/oc000144.shtml |
| _version_ | 1818311404297388032 |
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| author | Bromeo, Albert John Aquino-Alegre, Elenor Reina Lim Bon Siong, Ruben |
| author_facet | Bromeo, Albert John Aquino-Alegre, Elenor Reina Lim Bon Siong, Ruben |
| author_sort | Bromeo, Albert John |
| collection | DOAJ |
| description | Penetrating keratoplasty is indicated for cases of severe microbial keratitis, particularly if associated with impending corneal perforation. The case report details a 45-year-old male farmer who consulted for blurring of vision in the left eye after an incident wherein mud was flung onto his eye during farming. He noted eye redness and a growing opacity on his left eye. He was initially treated with topical antimicrobial and corticosteroid medication which did not resolve his symptoms. He presented with a visual acuity of hand movement on the affected eye. Slit lamp examination showed a large protruding mound-like plaque, occupying almost the entire corneal surface of the left eye, with associated scleritis. The ocular ultrasound was unremarkable. The patient was diagnosed with fungal keratitis, which culture from corneal scraping showed to be from an infection with . A tectonic penetrating keratoplasty with 360-degree iridectomy, lens extraction, and anterior vitrectomy was immediately done, and a regimen consisting of topical natamycin was started. Despite the severe presentation of the fungal corneal infection, the eye was fortunately salvaged. |
| first_indexed | 2024-12-13T08:01:25Z |
| format | Article |
| id | doaj.art-5a6f707a8e374616b16533fb63a2faa6 |
| institution | Directory Open Access Journal |
| issn | 2193-1496 |
| language | English |
| last_indexed | 2024-12-13T08:01:25Z |
| publishDate | 2020-04-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Ophthalmology Cases |
| spelling | doaj.art-5a6f707a8e374616b16533fb63a2faa62022-12-21T23:54:25ZengGerman Medical Science GMS Publishing HouseGMS Ophthalmology Cases2193-14962020-04-0110Doc1710.3205/oc000144Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitisBromeo, Albert John0Aquino-Alegre, Elenor Reina1Lim Bon Siong, Ruben2Department of Ophthalmology and Visual Sciences, Sentro Oftalmologico Jose Rizal, Philippine General Hospital, University of the Philippines, Manila, PhilippinesDepartment of Ophthalmology and Visual Sciences, Sentro Oftalmologico Jose Rizal, Philippine General Hospital, University of the Philippines, Manila, PhilippinesDepartment of Ophthalmology and Visual Sciences, Sentro Oftalmologico Jose Rizal, Philippine General Hospital, University of the Philippines, Manila, PhilippinesPenetrating keratoplasty is indicated for cases of severe microbial keratitis, particularly if associated with impending corneal perforation. The case report details a 45-year-old male farmer who consulted for blurring of vision in the left eye after an incident wherein mud was flung onto his eye during farming. He noted eye redness and a growing opacity on his left eye. He was initially treated with topical antimicrobial and corticosteroid medication which did not resolve his symptoms. He presented with a visual acuity of hand movement on the affected eye. Slit lamp examination showed a large protruding mound-like plaque, occupying almost the entire corneal surface of the left eye, with associated scleritis. The ocular ultrasound was unremarkable. The patient was diagnosed with fungal keratitis, which culture from corneal scraping showed to be from an infection with . A tectonic penetrating keratoplasty with 360-degree iridectomy, lens extraction, and anterior vitrectomy was immediately done, and a regimen consisting of topical natamycin was started. Despite the severe presentation of the fungal corneal infection, the eye was fortunately salvaged.http://www.egms.de/static/en/journals/oc/2020-10/oc000144.shtml |
| spellingShingle | Bromeo, Albert John Aquino-Alegre, Elenor Reina Lim Bon Siong, Ruben Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis GMS Ophthalmology Cases |
| title | Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis |
| title_full | Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis |
| title_fullStr | Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis |
| title_full_unstemmed | Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis |
| title_short | Large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis |
| title_sort | large graft tectonic penetrating keratoplasty in a case of severe aspergillus keratitis |
| url | http://www.egms.de/static/en/journals/oc/2020-10/oc000144.shtml |
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