Metarrhizium anisopliae is an extremely rare cause of ocular infection, and this report represents the first case of sclerokeratitis caused by this pathogen worldwide. Although found to be clinically sensitive to antifungal agents in previously reported cases of keratomycosis alone, it was found to be resistant to multiple antifungal agents with devastating consequences with the presence of scleral involvement.
We report a case of moderate-grade chemical injury to an eye following exposure to capsicum spray. A 75-year-old man presented with chemical injury to the conjunctiva and cornea following exposure to capsicum spray. The corneal epithelial defect healed in 2 weeks following the initiation of medical treatment. His unaided visual acuity had improved to 6/18 (6/9 with pinhole) after 6 weeks. Such a case illustrates that the safety of the commercially available capsicum sprays should be assessed before marketing as they may cause serious injury to the eye.
Microbial keratitis after incisional refractive surgery is relatively uncommon and may occur in the early or late postoperative period. [1][2][3][4] We report the occurrence of microbial keratitis in a patient three weeks after combined phacoemulsification and astigmatic keratotomy surgery.An 88-year-old female presented to the emergency department of the Royal Victorian Eye and Ear Hospital, Melbourne with a history of photophobia, discomfort and decreased vision in her left eye for the previous two days. She had undergone a combined phacoemulsification and astigmatic keratotomy in her left eye in a private practice three weeks prior to presentation. According to the patient, she was using prednisolone acetate 1% eyedrops four times a day in the immediate post-operative period and was advised to taper the drops to once daily in the third week after surgery. The records of the cataract surgery could not be obtained from the surgeon.The general health of the patient was good with no history of diabetes mellitus, rheumatoid arthritis or collagen vascular diseases. On presentation, the visual acuity was 6/12 OD and 1/60 OS. Slitlamp biomicroscopy of the left eye showed the presence of a full-thickness corneal infiltrate on the limbus at 9'o clock with an overlying epithelial defect measuring 1.9 mm horizontally and 2.0 mm vertically. There was a 1.8 mm high hypopyon in the anterior chamber (Figure 1).Corneal scrapings were obtained from the infiltrate and sent for microbiological evaluation including Gram stain, Blankophor preparation, chocolate agar, Sabourad's dextrose agar and thioglycollate broth. A swab was taken for the detection of herpes virus by the polymerase chain reaction. Ultrasound B scan of the posterior segment showed no abnormality. The patient was admitted to the hospital and hourly (day and night) ofloxacin 0.3% eye
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