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Aspergillus fumigatus keratitis following intracorneal ring segment implantation
1Department of ophthalmology, Faculty of medicine, Jordan University of Science & Technology, Irbid, Jordan. wisam97@yahoo.com
Background:
Fungal keratitis has been rarely reported following intracorneal ring segment (ICRS) inmplantation. This paper aims to report a case of fungal keratitis with aspergillus fumigatus following ICRS implantation for correction of keratoconus.
Methods:
A retrospective chart review was done. Data including demographics, clinical history and presentation, microbiological analysis as well as clinical management were recorded.
Results:
A 34 year old male presented with pain, photophobia, redness and decreased vision in his right eye ten days after ICRS implantation for correction of keratoconus. Slit-lamp examination showed chemosis, ciliary injection, corneal abcess with ill defined edges and hypopyon. Microbiological analysis and culture of the corneal scrapes were positive for aspergillus fumigatus. The patient did not respond to medical treatment and ended up with corneal transplantation.
Conclusion:
Although rare, fungal keratitis is a serious vision threatening complication that can complicate intrastromal ring implantation. Prompt and aggressive treatment is essential to prevent irreversible reduction of vision.
Insights
Fungal keratitis, a rare complication of intracorneal ring segment (ICRS) implantation for keratoconus, can lead to severe vision loss. Early diagnosis and aggressive treatment, including corneal transplantation, are crucial for managing this serious condition.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Intracorneal ring segment (ICRS) implantation is a surgical option for keratoconus correction.
- Fungal keratitis is a rare but serious complication post-ICRS implantation.
Observation:
- A 34-year-old male developed fungal keratitis caused by Aspergillus fumigatus ten days after ICRS implantation for keratoconus.
- Clinical presentation included pain, photophobia, redness, decreased vision, chemosis, ciliary injection, corneal abscess, and hypopyon.
Findings:
- Microbiological analysis confirmed Aspergillus fumigatus infection.
- The patient did not respond to medical management and required corneal transplantation.
Implications:
- Fungal keratitis is a vision-threatening complication following ICRS implantation.
- Prompt and aggressive treatment is essential to prevent irreversible vision reduction.
- Corneal transplantation may be necessary in severe cases unresponsive to medical therapy.
