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A 54-year-old Caucasian woman presented with corneal ulcer of the right eye of 4 weeks duration after scratching her cornea while removing her contact lens and artificial eye lashes. Her visual acuity was 20/32 (left eye) and finger counting (right eye). She had a 3x3 mm epithelial defect with underlying corneal oedema and hypopyon. Right eye cultures grewPaecilomycesspecies. Topical and systemic antifungal agents were initiated. Due to the sight-threatening disease, the patient underwent surgical intervention with intrastromal injection of amphotericin B and a large conjunctival flap covering 75% of the right eye corneal ulcer. After 3 months of therapy, she had near-complete resolution of the corneal ulcer. Unfortunately, recurrence of the corneal ulcer occurred within 3 weeks of cessation of therapy, prompting reinitiation of ophthalmic and systemic antifungal agents. The patient was advised to continue therapy for 6 months with regular follow-up.
Keratitis, Antifungal Agents, Corneal Edema, Visual Acuity, Middle Aged, Surgical Flaps, Treatment Outcome, Mycoses, Recurrence, Amphotericin B, Humans, Female, Injections, Intraocular, Corneal Ulcer, Paecilomyces, Eye Infections, Fungal
Keratitis, Antifungal Agents, Corneal Edema, Visual Acuity, Middle Aged, Surgical Flaps, Treatment Outcome, Mycoses, Recurrence, Amphotericin B, Humans, Female, Injections, Intraocular, Corneal Ulcer, Paecilomyces, Eye Infections, Fungal
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