PMC6416680_01
Picture of the patient's eye at admission.
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CODET Vision Institute, and the General Hospital of Tijuana, Mexico. Seven days after a direct, accidental trauma of the right cornea from the branch of a plant, the patient complained of progressive blurred vision, along with burning sensation and itchiness on the right eye. Clinical examination showed severe, deep keratoconjunctivitis, and a necrotic slough above the surface of the cornea (see Figure 1).
Typical ovoid, sickle-cell shaped macroconidia characteristics of
Fusarium spp.
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Fungal colonies grew on both Blood and Sabouraud Agars, and microscopic visualization showed typical ovoid, sickle-cell shaped macroconidia characteristics of Fusarium spp. (see Figure 2).
Picture of the patient's eye 3 weeks after keratoplasty, and 5 weeks after
antifungal treatment (systemic voriconazole for 2 weeks and topical
natamycin for 5 weeks).
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The patient's outcome was significantly improved, with 90% vision recovery at the 1-month follow-up appointment (see Figure 3).