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Fungal keratitis after nonpenetrating glaucoma surgery
Nevbahar Tamcelik1, Akif Ozdamar, Melda Kizilkaya
1Department of Ophthalmology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey.
Purpose:
The purpose was to report a case of fungal keratitis that occurred following viscocanalostomy.
Methods:
A 63-year-old man who underwent viscocanalostomy in his left eye presented with pain, redness, watering, and a decrease in visual acuity. Slit lamp examination showed teardrop-like stromal infiltration of the superior cornea. Corneal and conjunctival scrapings were obtained and a corneal biopsy was performed.
Results:
Microscopic examination of smears demonstrated no bacteria and fungi. Corneal biopsy revealed dichotomously branching, septate hyphae suggestive of Aspergillus species. Culture identified no microorganism. The patient responded to amphotericin B treatment and the corneal infiltration resolved, leaving a plaquelike corneal scar.
Conclusion:
Fungal keratitis may occur after viscocanalostomy, but prompt diagnosis and treatment can preserve the eye.