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[Exogenous keratitis due to chromomycosis (author's transl)]
Klinische Monatsblatter Fur Augenheilkunde
|January 1, 1977
Summary
A rare fungal eye infection, chromomycosis, can occur after cataract surgery. Early steroid treatment worsened this keratitis, but antifungal sensitivity testing guided effective therapy post-surgery.
Area of Science:
- Ophthalmology
- Mycology
- Infectious Diseases
Context:
- Presents a unique case of exogenous, retrocorneal, limbal infiltration.
- Occurred following cataract extraction surgery.
Purpose:
- To identify the causative agent of a severe keratitis post-cataract surgery.
- To determine antifungal susceptibility for effective treatment.
Summary:
- A dematiaceous fungus, identified as chromomycosis, was responsible for the keratitis.
- Initial misdiagnosis led to steroid administration, exacerbating the condition and causing hypopyoniritis.
- Histological diagnosis post-keratoplasty identified the fungus.
- In vitro studies revealed specific antifungal sensitivities, guiding treatment.
Impact:
- Highlights the importance of accurate diagnosis in post-operative keratitis.
- Demonstrates the successful application of targeted antifungal therapy based on sensitivity testing.
- Provides crucial data on the in vitro susceptibility of this fungal pathogen to various antifungals.