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Post-operative external photo showing the patient's nasal conjunctival flap with underlying tectonic patch graft.
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Accordingly, she underwent cryotherapy; tectonic penetrating keratoplasty with VisionGraft gamma-irradiated human cornea; anterior chamber tap; intracameral voriconazole, amphotericin B, and cefuroxime; and a partial conjunctival flap (Fig. 1).
Pathology from the patient's cornea demonstrating necrotizing keratitis and neutrophilic infiltrates (hematoxylin and eosin, 40X).
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At the time of surgery, the corneal tissue was submitted to pathology which showed necrotizing keratitis as well as GMS and PAS stains positive for fungal forms (Fig. 2, Fig. 3).