Fungal Keratitis
A patient with a history of corneal ulcer presents for a second opinion due to slow clinical improvement on topical medications. Cultures were negative, but biopsy showed numerous fungal elements. The patient was continued on topical antifungal medication and showed clinical improvement, and epithelial debridement helped improve drug penetration into the cornea. Depending on location of the infectious process, patients may benefit from intrastromal administration of antifungal medication. Fungal infection after endothelial keratoplasty is rare but can be visually devastating, and prompt, aggressive treatment is necessary to maximize visual recovery.
Presentation Date: 02/15/2024
Issue Date: 02/23/2024
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