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Fungal keratitis.

T Bourcier1, A Sauer1, A Dory2

  • 1Ophthalmology, Nouvel Hôpital Civil, EA7290, FMTS, University Hospitals and University of Strasbourg, BP 426, 67091 Strasbourg, France.

Journal Francais D'Ophtalmologie
|October 9, 2017
PubMed
Summary
This summary is machine-generated.

Fungal keratitis, a serious corneal infection, requires prompt diagnosis and treatment. Early medical and surgical interventions are crucial for managing this condition, which has a poorer prognosis than bacterial keratitis.

Keywords:
AbscessAntifungalsCorneaFilamentousFungusKeratitisMycosisScrapingYeast

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Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Fungal keratitis (keratomycoses) are corneal infections.
  • Risk factors include corneal trauma, surgery, ocular surface disease, steroid use, and contact lens wear.
  • Filamentous fungi and yeasts are common causative agents.

Purpose of the Study:

  • To outline the key clinical features, diagnostic methods, and management strategies for fungal keratitis.
  • To emphasize the importance of early intervention and compare prognosis with bacterial keratitis.

Main Methods:

  • Review of clinical presentations suggestive of fungal keratitis.
  • Emphasis on laboratory confirmation via corneal scraping.
  • Discussion of medical (antifungal drops, systemic agents) and surgical treatment options.

Main Results:

  • Specific clinical signs (feathery infiltrates, satellite lesions, etc.) suggest fungal etiology.
  • Prompt laboratory diagnosis is mandatory.
  • Fungal keratitis often requires both medical and surgical management.

Conclusions:

  • Fungal keratitis presents unique clinical signs and requires specific diagnostic approaches.
  • Early and aggressive treatment, including potential surgical intervention, is critical.
  • The prognosis for fungal keratitis is generally worse than for bacterial keratitis.