Aspergillus keratitis following corneal foreign body

Fahad, B.; McKellar, M.; Armstrong, M.; Denning, D.; Tullo, A.
June 2004
British Journal of Ophthalmology;Jun2004, Vol. 88 Issue 6, p847
Academic Journal
Recognition, diagnosis, and management of fungal keratitis remain difficult despite significant advances in understanding of the disease. Most fungal keratitis is caused by filamentous fungi with the epidemiology varying throughout the world. It is believed to be rare in Great Britain, especially after injury with a metallic foreign body. The cases, described in the article, demonstrate the difficulties in establishing a diagnosis by culture. Two patients required a therapeutic keratoplasty, which eliminates 90-100% of fungal infections. In recent reports intracameral amphotericin has been used, as part of the medical treatment which may prove useful if aspergilus keratitis becomes more common in Great Britain.


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