PMC6324159_01
(a) Day 1 - S. algae infected corneal ulcer measuring 2.7 x 4.2 mm (b) Day 1 - Corneal ulcer with fluorescein staining under cobalt blue light
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F1
Examination of his right eye revealed hand motion visual acuity, purulent discharge, moderate conjunctival injection, and a 2.7 x 4.2 mm central consolidated corneal infiltrate extending to 50% stromal depth with overlying epithelial defect in his previously failed PKP graft [Fig. 1].
(a) Day 22 - Resolving corneal ulcer with residual infiltrate and epithelial defect (b) Day 22 - Resolving corneal ulcer with fluorescein staining under cobalt blue light
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F2
His corneal ulcer improved over a course of 22 days at which time he was noted to have a persistent 1 x 1 mm infiltrate with overlying 1.2 x 1.5 mm epithelial defect [Fig. 2].
Week 18 - Central descemetocele
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F3
Upon return, he was only using erythromycin 0.5% ointment twice a day and was found to have a 1.3 x 1.9 mm central descemetocele [Fig. 3].