[Fungal keratitis associated with the use of contact lenses (clinical case)]. / Gribkovyi keratit, assotsiirovannyi s kontaktnoi korrektsiei (klinicheskoe nablyudenie).
Vestn Oftalmol
; 137(1): 74-77, 2021.
Article
in Ru
| MEDLINE
| ID: mdl-33610153
ABSTRACT
Currently, the number of keratomycoses and the interest of ophthalmologists to this type of keratitis have significantly increased due to the severity of the disease and non-satisfactory outcomes in some cases. According to published data, perforation of the cornea develops 6 times more often after keratomycosis than after keratitis of another etiology. The outcomes of keratoplasty in these patients are also not always satisfactory. The article presents a relatively rare clinical case of keratomycosis in a teenager caused by Arthrographis kalrae. The description of diseases caused by this microorganism is rarely found in literature. We have found only 4 cases describing keratomycosis caused by A. kalrae. The case presented here is associated with the use of contact lenses. The microorganism was identified from a container with contact lenses. Fungicidal drugs such as Anidulafungin, Voriconazole, as well as topical and systemical Amphotericin B were used in the treatment. The patient was discharged with a good functional result (best-corrected visual acuity of 0.7). This case indicates the possibility of a positive functional outcome in treating keratomycosis with present-day means.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Eye Infections, Fungal
/
Corneal Ulcer
/
Contact Lenses
/
Keratitis
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Humans
Language:
Ru
Journal:
Vestn Oftalmol
Year:
2021
Document type:
Article
Affiliation country:
Rusia