Language: Spanish
References: 3
Page: 36-39
PDF size: 78.55 Kb.

ABSTRACT

Case report of a female patient with endoftalmitis and corneal abscess secondary to Fusarium. The patient presented a corneal trauma with an unidentified object after one month and a half of evolution, being treated with multiple medications including steroids and antibiotics. Visual acuity: light perception. Abscess of the 70% of the corneal diameter with satellite lesions. Antimicotic treatment started for 72 hours. Because of a high risk of perforation, we performed a tectonic penetrating keratoplasty, finding a cotton like lesion over the ciliary body and on the vitreous. We performed vitrectomy with application of anfoterisine-B and dexametasone. Four months after, the corneal graft was transparent and the final visual acuity was 20/20. We suggest to be care in the prescription of medications specially if there is risk of micotic infection.

REFERENCES

1. Wong-TY, Au-Eong-KG. Fusarium keratitis following the use of topical antibiotic-corticosteroid therapy in traumatized eyes. Ann-Acad-Med-Singapore 1996; 25 (6): 862-865.

2. Srinivasan R, Kanugo R, Goyal JL. Spectrum of oculomycosis in South India. Acta Ophthalmol (Copenh) 1991; 69: 744-749.

3. Khairallah-SH, Byrne-KA. Fungal keratitis in Saudi Arabia. Doc-Ophthalmol 1992; 79 (3): 269-276.