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[Fungal keratitis]

T Bourcier1, A Sauer1, A Dory2

  • 1Service d'ophtalmologie, Nouvel hôpital civil, EA7290, FMTS, hôpitaux universitaires, université de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.

Journal Francais D'Ophtalmologie
|November 19, 2017
PubMed

Insights

Fungal keratitis (corneal infections) can occur after eye trauma or surgery. Early diagnosis and treatment with antifungal drops and possible surgery are crucial for a better outcome compared to bacterial infections.

Area of Science:

  • Ophthalmology
  • Mycology
  • Infectious Diseases

Background:

  • Fungal keratitis, also known as keratomycoses, are serious corneal infections.
  • Risk factors include corneal trauma, surgery, ocular surface disease, steroid use, and contact lens wear.
  • Both filamentous fungi and yeasts can cause these infections.

Purpose of the Study:

  • To outline the key clinical features suggestive of fungal keratitis.
  • To emphasize the importance of prompt laboratory diagnosis and treatment.
  • To discuss management strategies and compare prognosis with bacterial keratitis.

Main Methods:

  • Clinical presentation analysis.
  • Laboratory examination of corneal scrapings.
  • Review of medical and surgical management protocols.

Main Results:

  • Suggestive clinical signs include feathery infiltrates, satellite lesions, and lack of response to antibiotics.
  • Corneal scraping is essential for definitive diagnosis.
  • Fungal keratitis often requires prompt antifungal therapy and potentially surgery.

Conclusions:

  • Fungal keratitis presents with specific clinical signs and requires urgent management.
  • Prompt diagnosis via corneal scraping and initiation of antifungal treatment are critical.
  • The prognosis for fungal keratitis is generally poorer than for bacterial keratitis.
Keywords:
AbcèsAbscessAntifongiqueAntifungalsChampignonCorneaCornéeFilamenteuxFilamentousFungusGrattageKeratitisKératiteLevureMycoseMycosisScrapingYeast

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