Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis

Infectious keratitis develops in 13.6% of eyes after keratoprosthesis (Kpro) implantation, with a similar rate of culture-positive bacterial and fungal keratitis. We report a case of 73-year old man who underwent Boston Kpro implantation in the left eye 2 years back. He presented with conjunctival d...

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Main Authors: K S Siddharthan, Anushri Agrawal, Jagdeesh Kumar Reddy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Clinical Ophthalmology and Research
Subjects:
Online Access:http://www.jcor.in/article.asp?issn=2320-3897;year=2022;volume=10;issue=1;spage=43;epage=45;aulast=Siddharthan
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author K S Siddharthan
Anushri Agrawal
Jagdeesh Kumar Reddy
author_facet K S Siddharthan
Anushri Agrawal
Jagdeesh Kumar Reddy
author_sort K S Siddharthan
collection DOAJ
description Infectious keratitis develops in 13.6% of eyes after keratoprosthesis (Kpro) implantation, with a similar rate of culture-positive bacterial and fungal keratitis. We report a case of 73-year old man who underwent Boston Kpro implantation in the left eye 2 years back. He presented with conjunctival discharge and a whitish growth over the bandage contact lens (BCL) for the past 2 weeks. Slit-lamp examination showed a whitish elevated growth with surrounding diffuse brownish feathery seeding all over the BCL. The BCL which was sent for culture grew fungus. The underlying Kpro was clear with no evidence of any active infiltrate. The patient was started on topical antifungal eye drops and was followed up for 12 months with no recurrence of infection. Educating the patient to be sensitive and to report immediately if they note any abnormality is as important as cleaning or replacing the BCL on a regular basis.
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spelling doaj.art-cc9fd178c6924f43807654cc716cf7fc2022-12-22T01:40:30ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972022-01-01101434510.4103/jcor.jcor_125_20Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesisK S SiddharthanAnushri AgrawalJagdeesh Kumar ReddyInfectious keratitis develops in 13.6% of eyes after keratoprosthesis (Kpro) implantation, with a similar rate of culture-positive bacterial and fungal keratitis. We report a case of 73-year old man who underwent Boston Kpro implantation in the left eye 2 years back. He presented with conjunctival discharge and a whitish growth over the bandage contact lens (BCL) for the past 2 weeks. Slit-lamp examination showed a whitish elevated growth with surrounding diffuse brownish feathery seeding all over the BCL. The BCL which was sent for culture grew fungus. The underlying Kpro was clear with no evidence of any active infiltrate. The patient was started on topical antifungal eye drops and was followed up for 12 months with no recurrence of infection. Educating the patient to be sensitive and to report immediately if they note any abnormality is as important as cleaning or replacing the BCL on a regular basis.http://www.jcor.in/article.asp?issn=2320-3897;year=2022;volume=10;issue=1;spage=43;epage=45;aulast=Siddharthanbandage contact lensfungal infectionkeratoprosthesis
spellingShingle K S Siddharthan
Anushri Agrawal
Jagdeesh Kumar Reddy
Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis
Journal of Clinical Ophthalmology and Research
bandage contact lens
fungal infection
keratoprosthesis
title Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis
title_full Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis
title_fullStr Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis
title_full_unstemmed Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis
title_short Fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis
title_sort fungal seeding of bandage contact lens with no underlying corneal invasion of boston keratoprosthesis
topic bandage contact lens
fungal infection
keratoprosthesis
url http://www.jcor.in/article.asp?issn=2320-3897;year=2022;volume=10;issue=1;spage=43;epage=45;aulast=Siddharthan
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AT jagdeeshkumarreddy fungalseedingofbandagecontactlenswithnounderlyingcornealinvasionofbostonkeratoprosthesis