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Fungal keratitis after conjunctivitis
Kshiti Saruparia1, Isha Chaudhari1, Shweta Singh1
1Department of Cornea, Refractive and Anterior Segment Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Oman Journal of Ophthalmology
|July 28, 2026
Summary
Injudicious use of steroid eye drops can lead to serious fungal infections like Fusarium keratitis. This case series highlights the critical need for careful steroid prescription and patient education to prevent vision loss.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Self-medication with over-the-counter eye drops, particularly steroids, is prevalent.
- Improper use of these medications without professional guidance poses significant risks.
Purpose of the Study:
- To highlight the risk of Fusarium keratitis associated with inappropriate steroid use.
- To emphasize the importance of judicious steroid prescription and patient education.
Main Methods:
- Case series describing three patients with Fusarium keratitis.
- Patients presented after prolonged steroid use for conjunctivitis.
Main Results:
- All three patients developed Fusarium keratitis.
- Outcomes varied, including medical management and penetrating keratoplasty.
Conclusions:
- Prolonged, inappropriate steroid use is a risk factor for Fusarium keratitis.
- Judicious prescribing, enhanced diagnostic vigilance, and patient education are crucial to prevent this sight-threatening condition.
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