Japanese

A case of keratomycosis with marginal corneal ulcer and conjunctival abscess following cataract surgery Yoichiro Shinkai 1 , Hiroshi Tanaka 2 , Yuko Nozaki 2 , Chie Sotozono 2 , Shigeru Kinoshita 2 , Masatsugu Hashida 1 , Kimiaki Urabe 1 1Machida Hosp 2Dept of Ophthalmol, Kyoto Prefectural Univ of Med pp.1155-1160
Published Date 2014/8/15
DOI https://doi.org/10.11477/mf.1410105343
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Abstract. Purpose:To report a case of keratomycosis with marginal corneal ulcer and conjunctival abscess following cataract surgery. Case:An 85-year-old male presented with foreign body sensation and impaired vision in the right eye. He had received cataract surgery one month before and was hit by the ear of rice plant 10 days before. Findings:Corrected visual acuity was 0.4. The right eye showed signs of inflammation in the anterior chamber. The cornea showed opacity and erosion in the lower temporal sector, suggesting bacterial infection. Topical treatment with antibiotics was ineffective and was switched to antifungal drugs 5 days later. The cornea showed thinning and swelling in the adjacent conjunctiva on day 12. Brown surgery with biopsy was performed on day 35. The corneal stroma was filled with fungi that proved to be Aspergillus spp. by culture. The swelling of conjunctiva found to be due to abscess formation. The right eye healed after 5 sessions of keratotomy after 137 days. There has been no recurrence for one year until present. Conclusion:Surgical intervention was effective in the present case of intractable keratomycosis following cataract surgery and corneal trauma.


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

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