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A case of fulminant corneral ulcer due to Fusarium necessitating early surgery Hironori Sakata 1 , Taichirou Miyake 1 , Atsushi Mekada 1 1Dept of Ophthalmol,Shiga Univ of Med Sci pp.1205-1208
Published Date 2004/7/15
DOI https://doi.org/10.11477/mf.1410100645
  • Abstract
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 A 47-year-old male developed acute pain in his left eye. Corneal foreign body was detected and removed. The ensuing corneal erosion was cured by topical medication 6 days later. Pain in his left eye 2 weeks later led to detection of corneal erosion. Fungus was found microscopically on day 14 after recurrence. Instillation of fluconazole and pimaricin was started.Fusarium sp. was identified by culture on day 20. Corneal perforation occurred on day 24. The perforated area was covered by preserved sclera on day 40. The ensuing endophthalmitis with retinal detachment was treated by endoscopic vitreous surgery. The visual acuity is light sensation after reattachment of the retina,suggesting the need of keratoplasty. This case illustrates that keratitis or corneal ulcer following corneal foreign body may be caused by fungal infection requiring prompt treatment.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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