PMC6699554_01
Corneal ulcer 5 mm in size, with a central leukoma on the visual axis of 60% of the total corneal surface, irregular in shape, whitish cottony appearance.
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On local examination, the cornea was found to have an ulcer of approximately 5 mm in size, with a central leukoma on the visual axis of 60% of the total corneal surface, irregular in shape, with a whitish cottony appearance [Fig. 1].
KOH wet preparation microscopy showing septate, branched, hyaline hyphae of Fusarium solani.
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KOH wet preparation revealed the presence of septate, branched, hyaline hyphae, indicative of a fungal infection due to a hyaline filamentous fungus [Fig. 2].
Intrastromal voriconazole injection in anterior chamber.
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With the probable diagnosis of Fusarium keratitis, intrastromal voriconazole was injected into the anterior chamber [Fig. 3].
Colony of Fusarium solani on SDA at 3 days and at 7 days.
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Culture on SDA grew white, cottony colonies at first pink in the center [Fig. 4].