A Case of Fusarium Keratitis Treated with Moxifloxacin 0.5% Ophthalmic Solution.

Lee, Dong Cheol; Lee, Jung Won; Chang, Sung Dong

doi:2012.53.2.338

J Korean Ophthalmol Soc > Volume 53(2); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(2):338-341.
DOI: https://doi.org/10.3341/jkos.2012.53.2.338 Published online February 15, 2012.

A Case of Fusarium Keratitis Treated with Moxifloxacin 0.5% Ophthalmic Solution.

Dong Cheol Lee, Jung Won Lee, Sung Dong Chang

¹Department of Ophthalmology, Keimyung University School of Medicine, Daegu, Korea. sdchang@dsmc.or.kr
²Eye Clinic of Jukjeon, Daegu, Korea.

목시플록사신만으로 치료된 푸사륨 진균 각막염 1예

이동철¹⋅이중원²⋅장성동¹

Department of Ophthalmology, Keimyung University School of Medicine¹, Daegu, Korea Eye Clinic of Jukjeon², Daegu, Korea

Abstract

PURPOSE
To report a case of fusarium keratitis treated with only moxifloxacin 0.5% ophthalmic solution (Vigamox(R), Alcon Laboratories, Inc., Ft Worth, TX, USA). CASE SUMMARY: A 37-year-old healthy male patient experienced a right eye injury due to grain 7 days prior to presentation at our hospital with visual disturbance and ocular pain. A 2.7 x 4.3 mm sized corneal epithelial defect with irregular featherlike midstromal infiltration was observed, and slit lamp examination revealed a dry, rough texture. Thus a smear and culture were performed. Moxifloxacin 0.5% ophthalmic solution (Vigamox(R)) and lubricant were applied for treatment. Three days after using the eye solution, all clinical features improved. Seven days later, Fusarium species was identified in culture. CONCLUSIONS: As standard treatment for Fusarium, the authors of the present study used an antifungal agent. Although hyphae were detected in culture, the use of only moxifloxacin 0.5% ophthalmic solution (Vigamox(R)) result in a satisfactory result and improvement in clinical features.

Key Words: Fusarium keratitis;Moxifloxacin