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Epicorneal aspergilloma after penetrating keratoplasty
E D Weichel1, K S Bower, T P Ward
1Department of Ophthalmology, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650, USA. eweichel@hotmail.com
Purpose:
To report an epicorneal aspergilloma in a postkeratoplasty patient with a bandage soft contact lens.
Methods:
Case report of a 77-year-old postkeratoplasty patient who presented with an epicorneal mass under a bandage soft contact lens placed for a nonhealing epithelial defect. On removal of the contact lens, a 4 x 4-mm placoid mass fell free from the corneal surface and was sent for culture and histopathology.
Results:
Gram stain demonstrated septated branching hyphae, and cultures confirmed the diagnosis of Histopathologic sections of the epicorneal mass revealed a full-thickness aspergilloma.
Conclusion:
Contact lens removal and aggressive antimycotic treatment resulted in epithelial healing and resolution of the keratomycosis. The patient remained stable for 6 months followed by a successful repeat penetrating keratoplasty.