Branhamella keratoconjunctivitis

A young male complained of monocular diplopia for over a year. Ophthalmic evaluation revealed gross corneal pannus in both eyes and clinical findings precipitated treatment for chronic chlamydial eye disease. The definitive pathogen isolated from both eyes was Branhamella catarrhalis. A cause of otitis media, sinusitis, and lower respiratory infections, Branhamella is a rare, opportunistic ocular pathogen which may be associated with meibomian gland dysfunction.