PMC5267849_01
On slit lamp examination (right eye): A) the central corneal abscess with corneal edema and hypopyon on admission; B) healing with vascularized scar on cornea after voriconazole and terbinafine treatment at day 4; C) day 8; D) day 15
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On slit lamp examination, there was a 3x3 mm central abscess on the graft involving all layers of the cornea in the right eye; the left eye examination was normal (Figure 1 A). Clinical improvement was observed and the corneal lesion healed with the vascularized scar tissue (Figure 1 B). Terbinafine and voriconazole were discontinued after, respectively (Figure 1 C, D).
A) microscopic examination of corneal scrapings revealed a septate and branching fungal hyphae; B) branching conidiophores arising from infrequent septate hyphae with tapering phialides and chains of conidia characterise Paecilomyces spp (Lactophenol cotton blue stain)
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The fungal isolate was identified as a Paecilomyces species by the microbiology laboratory (Figure 2 B).