PMC3959051_01
Vascularized corneal opacity of left eye
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F1
On examination, he had bilateral central, leucomatous, vascularized corneal opacity, which was larger in the left eye [Figure 1a] as compared with the right eye. One week later, a large brown pigmented dry lesion was present on the graft [Figure 1b].
Graft showing brown lesion
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PMC3959051_01_MEAJO-21-92-g002.jpg
F2
With a working diagnosis of keratitis, corneal scrapping was performed, which showed segmented filamentous fungi on 10% potassium hydroxide mount [Figure 2a] as well as on lactophenol blue stain [Figure 2b]. Culture on sabouraud dextrose agar at 30 C yielded colonies of Alternaria species within 7 days of incubation [Figure 2c]. At 1 month follow-up, the left eye BCVA was 20/60 that remained stable at 11 months follow-up [Figure 2d].