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Publication
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report
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Advisor(s)
Abstract(s)
Purpose: To describe a rare case of an interface filamentous fungal keratitis and its successful clinical approach and management.
Patients and methods: Retrospective case report. Analysis of the patient's clinical records.
Results: A healthy 30-year-old woman presenting with complaints of blurred vision, photophobia and intense pain, was previously diagnosed with a suspected unilateral diffuse lamellar keratitis after laser in situ keratomileusis surgery, and accordingly treated with a scheme of oral and subconjunctival corticosteroids. Due to worsening of symptoms, the patient was later referred to our ophthalmology department. Upon examination, a corneal infiltration was observed and a fungal infection was suspected. Treatment with fortified Voriconazole (1%) was initiated and both topical and oral corticosteroids were tapered. The infiltrate resolved after 6 weeks of antifungal topical treatment. Scopulariopsis brevicaulis was isolated on culture media. At the end of follow-up, the uncorrected distance visual acuity was 20/20 with mild scarring.
Conclusion: Scopulariopsis brevicaulis can be associated with post-laser in situ keratomileusis interface infection. A quick intervention may dictate a good outcome, when combining early suspicion and microbiological diagnosis, and an appropriate conservative management. Furthermore, Voriconazole seems to be effective and safe in the treatment of such cases.
Description
Keywords
Scopulariopsis brevicaulis fungus; keratitis laser in situ keratomileusis laser vision correction
Citation
Baptista PM, Vieira R, Monteiro S, Abreu AC, Gomes M, Pinto MDC. Keratitis by Scopulariopsis brevicaulis Fungus After LASIK - A Case Report. Int Med Case Rep J. 2021;14:107-110. doi:10.2147/IMCRJ.S299454
Publisher
Dove Medical Press