Fungal keratitis in a soft contact lens wearer
Foroozan, R.; Eagle, R.C.; Cohen, E.J.
Clao Journal Official Publication of the Contact Lens Association of Ophthalmologists Inc 26(3): 166-168
2000
ISSN/ISBN: 0733-8902 PMID: 10946989 Document Number: 514003
Purpose: To describe a case of fungal keratitis in a soft contact lens wearer. Methods and results: A 57 year old female, compliant, frequent replacement soft contact lens wearer, with a possible prior history of herpes simplex keratitis, presented with pain and injection of her left eye of four weeks duration. Gram stain of a corneal ulcer of the left eye revealed fungal organisms and cultures grew Fusarium solani. The infiltrate responded to topical and systemic antifungal agents, but a corneal perforation developed which required a therapeutic penetrating keratoplasty. Conclusions: Fungal infections are a cause of corneal ulcers in contact lens wearers. Despite the use of topical and systemic antifungal agents, fungal ulcers frequently require surgical intervention.