A Case of Fusarium Deep Keratitis Following Scleral Graft.

Oh, Doo Hwan; Kim, Jae Chan; Chun, Yeoun Sook

doi:2010.51.4.606

J Korean Ophthalmol Soc > Volume 51(4); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(4):606-610.
DOI: https://doi.org/10.3341/jkos.2010.51.4.606 Published online April 15, 2010.

A Case of Fusarium Deep Keratitis Following Scleral Graft.

Doo Hwan Oh, Jae Chan Kim, Yeoun Sook Chun

Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea. yschun100@hanmail.net

공막 이식 후 발생한 푸사륨 심부 각막염 1예

오두환ㆍ김재찬ㆍ전연숙

Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea

Abstract

PURPOSE
To report a case of drug-resistant Fusarium deep keratitis following sclera graft. CASE SUMMARY: A 48-year-old woman, who underwent excision of the pterygium nine years previous, received a scleral graft for scleromalacia and ocular pain. After surgery, due to melting of the scleral graft and the presence of Fusarium deep keratitis, she received surgical and intensive medical treatment including three intracameral injections of antifungal agent, administration of topical voriconazole 1%, scleral re-graft, autologous conjunctival graft, and amniotic membrane transplantation. Nevertheless, the patient's ocular condition deteriorated with increased hypopyon, corneal opacity, and perforation. Enucleation was ultimately performed.

Key Words: Fungal keratits;Fusarium;Intracameral Voriconazole