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Pseudallescheria boydii keratitis
1Department of Ophthalmology, Sir Charles Gairdner Hospital, Perth, Western Australia.
Australian and New Zealand Journal of Ophthalmology
|August 1, 1992
Summary
A rare fungal eye infection, Pseudallescheria boydii keratitis, was successfully treated with antifungal medications. This case highlights effective management of post-traumatic corneal infections for good visual recovery.
Area of Science:
- Ophthalmology
- Medical Mycology
Background:
- Post-traumatic corneal infections can be challenging to manage.
- Fungal keratitis, particularly from soil saprophytes, requires prompt diagnosis and treatment.
Observation:
- A patient presented with a corneal laceration from a wood splinter, initially repaired surgically.
- Ocular infection with Pseudallescheria boydii manifested four weeks postoperatively.
Findings:
- Topical miconazole and natamycin effectively eradicated the Pseudallescheria boydii infection.
- Successful visual outcome was achieved after subsequent penetrating keratoplasty, cataract extraction, and intraocular lens implantation.
Implications:
- This case demonstrates the efficacy of specific antifungal agents in treating rare fungal keratitis.
- Aggressive surgical and medical management can restore vision in severe post-traumatic ocular fungal infections.
