PMC7395999_01
Anterior segment picture of the left eye showing a corneal ulcer involving the visual axis.
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fig1
Despite intensive hourly topical antibacterial inpatient treatment, the infection progressed into a large corneal ulcer affecting the central visual axis (Figure 1).
Corneal scarring centrally (6 months after the initial presentation).
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fig2
Fluconazole 0.2% and Amphotericin B 0.15%) and antibacterial (2 hourly gentamicin 0.9% and cefuroxime 5%) eye drops. Four months later, the ulcer had healed completely, leaving a corneal scar (Figure 2).
(a) Cyphellophora sp. colony growth on Sabouraud dextrose agar. (b) LPCB mount: phialides with collarettes bearing septated conidia (magnification 40x).
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fig3
The method that was used for microscopic identification of this fungus was culturing on Sabouraud dextrose agar (Figure 3(a)). Lactophenol cotton blue mounting revealed phialides with collarettes bearing septated conidia (Figure 3(b)).