Published date: Oct 24 2019

Journal Title: Journal of Ophthalmic and Vision Research

Issue title: October–December 2019, Volume 14, Issue 4

Pages: 506–508

DOI: 10.18502/jovr.v14i4.5461

Sonam YangzesDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Parul Chawla GuptaDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Vivek JhaDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Jagat Ramdrjagatram@gmail.comDepartment of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Purpose: To report the clinical characteristics, laboratory findings, and treatment of a rare case of keratitis caused by pigmented fungi Bipolaris hawaiiensis.

Case Report: A 55-year-old man presented with a history of trauma with vegetative matter in his left eye. Slit lamp biomicroscopic examination revealed the presence of a brownish-black pigmented plaque with surrounding infiltrates. Corneal scrapings revealed multiple septate hyphae. Culture revealed growth of the Bipolaris species. The patient was treated with topical natamycin 5%, topical voriconazole 1%, and oral itraconazole followed by intracameral amphotericin B (5 μg/mL). The patient responded well to the treatment.

Conclusion: Brown pigmented infiltrates are an important clinical feature of dematiaceous fungi. B. hawaiiensis is a rare cause of corneal phaeohyphomycosis. Our patient responded well to intracameral amphotericin B, which obviated the need for penetrating keratoplasty.

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