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Yangzes S, Chawla Gupta P, Jha V, Ram J. Pigmented Corneal Ulcer. JOVR [Internet]. 2019Oct.24 [cited 2024Jul.18];14(4):506–508. Available from: https://knepublishing.com/index.php/JOVR/article/view/5461

https://doi.org/10.18502/jovr.v14i4.5461

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authors

  • Sonam Yangzes

    Sonam Yangzes

    Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • Parul Chawla Gupta

    Parul Chawla Gupta

    Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • Vivek Jha

    Vivek Jha

    Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • Jagat Ram

    Jagat Ram

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

Published Date

  • Oct 24, 2019
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Pigmented Corneal Ulcer

Journal of Ophthalmic and Vision Research (JOVR) / October–December 2019, Volume 14, Issue 4 / Pages 506–508

Abstract

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.

Keywords:

Corneal Ulcer, Keratitis, Pigmented

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