Nattrassia mangiferae keratitis after laser in situ keratomileusis

J Cataract Refract Surg. 2004 Jan;30(1):268-72. doi: 10.1016/j.jcrs.2003.05.003.

Abstract

A 32-year-old man had photophobia and blurred vision 2 weeks after uneventful laser in situ keratomileusis to correct myopia. He was treated with steroids for suspected diffuse lamellar keratitis, antiherpetics, and antibiotic eyedrops, but the condition worsened and the patient developed further blurred vision, an inflamed eye, and pain. When referred to us, the patient had an extensive corneal ulcer with hypopyon and mycelia were reported in scrapings of the ulcer bed. Nattrassia mangiferae (Hendersonula toruloidea) was cultured from the specimen. The patient was treated with antifungal agents and 2 penetrating keratoplasties. At the last examination, the uncorrected visual acuity was 20/200.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antifungal Agents / therapeutic use
  • Combined Modality Therapy
  • Cornea / microbiology
  • Corneal Ulcer / diagnosis
  • Corneal Ulcer / microbiology*
  • Corneal Ulcer / therapy
  • Eye Infections, Fungal / diagnosis
  • Eye Infections, Fungal / etiology*
  • Eye Infections, Fungal / therapy
  • Humans
  • Keratomileusis, Laser In Situ / adverse effects*
  • Keratoplasty, Penetrating
  • Male
  • Mitosporic Fungi / isolation & purification*
  • Mycoses / diagnosis
  • Mycoses / etiology*
  • Mycoses / therapy
  • Myopia / surgery
  • Suppuration / microbiology

Substances

  • Antifungal Agents