Keratic Precipitates: An Overlooked Sign of Microsporidial Stromal Keratitis?

To elucidate a distinctive clinical feature in cases of microsporidial stromal keratitis (MSK). A retrospective observational study of cases with a histopathological and/or microbiological diagnosis of MSK on corneal biopsy or host corneal button between 2016 and 2022 was conducted. Eighteen cases w...

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Bibliographic Details
Published in:Ocular immunology and inflammation 2024-10, Vol.32 (9), p.1-2263
Main Authors: Muni, Ipsita, Priyadarshini, Smruti Rekha, Sahu, Srikant Kumar, Das, Sujata
Format: Article
Language:English
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Summary:To elucidate a distinctive clinical feature in cases of microsporidial stromal keratitis (MSK). A retrospective observational study of cases with a histopathological and/or microbiological diagnosis of MSK on corneal biopsy or host corneal button between 2016 and 2022 was conducted. Eighteen cases with a confirmed histopathological and/or microbiological diagnosis of MSK were detected. Careful review of slit-lamp photographs revealed the presence of pigmented keratic precipitates (KPs) beyond the area of stromal keratitis in five out of eighteen cases (27.7%). The presence of pigmented KPs beyond the area of lesion can alert the clinician to keep microsporidia as a differential cause for stromal keratitis. Management can be tailored accordingly for a better outcome.
ISSN:0927-3948
1744-5078
1744-5078
DOI:10.1080/09273948.2024.2329805