Keratitis by Scopulariopsis brevicaulis Fungus After LASIK - A Case Report

To describe a rare case of an interface filamentous fungal keratitis and its successful clinical approach and management. Retrospective case report. Analysis of the patient's clinical records. A healthy 30-year-old woman presenting with complaints of blurred vision, photophobia and intense pain...

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Bibliographic Details
Published in:International medical case reports journal 2021-01, Vol.14, p.107-110
Main Authors: Baptista, Pedro Manuel, Vieira, Rita, Monteiro, Sílvia, Abreu, Ana Carolina, Gomes, Miguel, Pinto, Maria do Céu
Format: Article
Language:English
Subjects:
Analysis
Case Report
Case reports
Cataracts
Consent
Cornea
Disclosure
Etiology
Eye
Fungi
fungus
Health aspects
Infection
Keratitis
laser in situ keratomileusis
laser vision correction
Lasers
Lasers in medicine
Lasers in surgery
Medical records
Methicillin
Mycoses
Ophthalmology
Pathogens
scopulariopsis brevicaulis
Staphylococcus infections
Surgery
Ulcers
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Summary:To describe a rare case of an interface filamentous fungal keratitis and its successful clinical approach and management. Retrospective case report. Analysis of the patient's clinical records. 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. was isolated on culture media. At the end of follow-up, the uncorrected distance visual acuity was 20/20 with mild scarring. 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.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S299454