Surgical management of peripheral fungal keratitis (keratomycosis)

Keratomycosis often follows ocular trauma caused by vegetable matter. Medical management sometimes is unsuccessful, and surgical intervention is required. Débridement, penetrating keratoplasty, and lamellar keratoplasty in conjunction with an inlay conjunctival flap have all been proved effective. Three case reports illustrate the usefulness of lamellar keratoplasty and conjunctival flaps in the management of peripheral corneal fungal ulcers.