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Fungal keratitis in a soft contact lens wearer
R Foroozan1, R C Eagle, E J Cohen
1Cornea Service, Wills Eye Hospital, Philadelphia, PA 19107, USA.
Purpose:
To describe a case of fungal keratitis in a soft contact lens wearer.
Methods And Results:
A 57 year old female, compliant, frequent replacement soft contact lens wearer, with a possible prior history of herpes simplex keratitis, presented with pain and injection of her left eye of four weeks duration. Gram stain of a corneal ulcer of the left eye revealed fungal organisms and cultures grew Fusarium solani. The infiltrate responded to topical and systemic antifungal agents, but a corneal perforation developed which required a therapeutic penetrating keratoplasty.
Conclusions:
Fungal infections are a cause of corneal ulcers in contact lens wearers. Despite the use of topical and systemic antifungal agents, fungal ulcers frequently require surgical intervention.