PMC6381420_01
Slit-lamp photo of the right eye showing hypopyon and fungal mass in the anterior chamber (day 1)
OC-09-03-g-001.jpg
PMC6381420_01_OC-09-03-g-001.jpg
F1
Slit lamp examination revealed on the right eye a peripheral corneal infiltration with a central ulcer, a deep anterior chamber with a mass on the iris and a hypopyon (Figure 1 (Fig. 1)).
Examination following first anterior chamber lavage (day 3)
OC-09-03-g-002.jpg
PMC6381420_01_OC-09-03-g-002.jpg
F2
Steroids were stopped and a biopsy of the mass was performed with bimanual irrigation and aspiration handpiece use (Figure 2 (Fig. 2)).
Progressive resolution of fungal mass during intracameral Amphotericin B treatment on day 7 (A/B), day 11 (C), and day 15 after its discontinuation (D)
OC-09-03-g-003.jpg
PMC6381420_01_OC-09-03-g-003.jpg
F3
Initially, anterior chamber lavage was performed once a day for four consecutive days (Figure 3A,B (Fig. 3)). Two days later, slit lamp examination revealed small whitish dots on the anterior lens capsule (Figure 3C (Fig. 3)). The patient was discharged after two weeks of aggressive treatment with easing of local signs (Figure 3D (Fig. 3)).
Result on last follow-up visit six months later
OC-09-03-g-004.jpg
PMC6381420_01_OC-09-03-g-004.jpg
F4
After six months, her visual acuity has improved to 200/200 on the right eye and slit lamp examination revealed a cicatrizing peripheral corneal ulcer with closed epithelium (Figure 4 (Fig. 4)).