Pigmented Corneal Ulcer
Purpose: To report the clinical characteristics, laboratory findings, and treatment of a rare case of keratitis caused by pigmented fungi Bipolaris hawaiiensis. Case Report: A 55-year-old man presented with a history of trauma with vegetative matter in his left eye. Slit lamp biomicroscop...
| الحاوية / القاعدة: | Journal of Ophthalmic & Vision Research |
|---|---|
| المؤلفون الرئيسيون: | , , , |
| التنسيق: | مقال |
| اللغة: | الإنجليزية |
| منشور في: |
Knowledge E
2019-10-01
|
| الموضوعات: | |
| الوصول للمادة أونلاين: | https://doi.org/10.18502/jovr.v14i4.5461 |
| _version_ | 1852674265908772864 |
|---|---|
| author | Sonam Yangzes Parul Chawla Gupta Vivek Jha Jagat Ram |
| author_facet | Sonam Yangzes Parul Chawla Gupta Vivek Jha Jagat Ram |
| author_sort | Sonam Yangzes |
| collection | DOAJ |
| container_title | Journal of Ophthalmic & Vision Research |
| description | Purpose: To report the clinical characteristics, laboratory findings, and treatment of a rare case of keratitis caused by pigmented fungi Bipolaris hawaiiensis.
Case Report: A 55-year-old man presented with a history of trauma with vegetative matter in his left eye. Slit lamp biomicroscopic examination revealed the presence of a brownish-black pigmented plaque with surrounding infiltrates. Corneal scrapings revealed multiple septate hyphae. Culture revealed growth of the Bipolaris species. The patient was treated with topical natamycin 5%, topical voriconazole 1%, and oral itraconazole followed by intracameral amphotericin B (5 μg/mL). The patient responded well to the treatment.
Conclusion: Brown pigmented infiltrates are an important clinical feature of dematiaceous fungi. B. hawaiiensis is a rare cause of corneal phaeohyphomycosis. Our patient responded well to intracameral amphotericin B, which obviated the need for penetrating keratoplasty. |
| format | Article |
| id | doaj-art-cfd40055e1a74e4eb331a95dabe04338 |
| institution | Directory of Open Access Journals |
| issn | 2008-322X |
| language | English |
| publishDate | 2019-10-01 |
| publisher | Knowledge E |
| record_format | Article |
| spelling | doaj-art-cfd40055e1a74e4eb331a95dabe043382025-08-19T21:31:46ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2019-10-011450650810.18502/jovr.v14i4.5461jovr.v14i4.5461Pigmented Corneal UlcerSonam Yangzes0Parul Chawla Gupta1Vivek Jha2Jagat Ram3 Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, IndiaPurpose: To report the clinical characteristics, laboratory findings, and treatment of a rare case of keratitis caused by pigmented fungi Bipolaris hawaiiensis. Case Report: A 55-year-old man presented with a history of trauma with vegetative matter in his left eye. Slit lamp biomicroscopic examination revealed the presence of a brownish-black pigmented plaque with surrounding infiltrates. Corneal scrapings revealed multiple septate hyphae. Culture revealed growth of the Bipolaris species. The patient was treated with topical natamycin 5%, topical voriconazole 1%, and oral itraconazole followed by intracameral amphotericin B (5 μg/mL). The patient responded well to the treatment. Conclusion: Brown pigmented infiltrates are an important clinical feature of dematiaceous fungi. B. hawaiiensis is a rare cause of corneal phaeohyphomycosis. Our patient responded well to intracameral amphotericin B, which obviated the need for penetrating keratoplasty.https://doi.org/10.18502/jovr.v14i4.5461Corneal UlcerKeratitisPigmented |
| spellingShingle | Sonam Yangzes Parul Chawla Gupta Vivek Jha Jagat Ram Pigmented Corneal Ulcer Corneal Ulcer Keratitis Pigmented |
| title | Pigmented Corneal Ulcer |
| title_full | Pigmented Corneal Ulcer |
| title_fullStr | Pigmented Corneal Ulcer |
| title_full_unstemmed | Pigmented Corneal Ulcer |
| title_short | Pigmented Corneal Ulcer |
| title_sort | pigmented corneal ulcer |
| topic | Corneal Ulcer Keratitis Pigmented |
| url | https://doi.org/10.18502/jovr.v14i4.5461 |
| work_keys_str_mv | AT sonamyangzes pigmentedcornealulcer AT parulchawlagupta pigmentedcornealulcer AT vivekjha pigmentedcornealulcer AT jagatram pigmentedcornealulcer |