Fungal keratitis after nonpenetrating glaucoma surgery

Abstract

Purpose. The purpose was to report a case of fungal keratitis that occurred following viscocanalostomy. Methods. A 63-year-old man who underwent viscocanalostomy in his left eye presented with pain, redness, watering. and a decrease in visual acuity. Slit lamp examination showed teardrop-like stromal infiltration of the superior cornea. Corneal and conjunctival scrapings were obtained and a corneal biopsy was performed. Results. Microscopic examination of smears demonstrated no bacteria and fungi. Corneal biopsy revealed dichotomously branching, septate hyphae suggestive of Aspergillus species. Culture identified no microorganism. The patient responded to amphotericin B treatment and the corneal infiltration resolved. leaving a plaquelike corneal scar, Conclusion. Fungal keratitis may occur after viscocanalostomy. but prompt diagnosis and treatment can preserve the eye.