Aspergillus keratitis - a case of fungal keratitis following amnoiotic membrane transplantation (AMT) for bullous keratopathy. Slit-lamp photograph of left eye showing ring shaped stromal infiltrate.
Amniotic membrane transplantation (AMT) has been used effectively in the treatment of bullous keratopathy. It can be considered as an alternative to conjunctival flap in alleviating pain, promoting epithelialisation in patients with symptomatic bullous keratopathy and poor visual potential .This 55-year-old female underwent amniotic membrane transplantation (AMT) with epithelial debridement and anterior stromal puncture in the left eye for symptomatic bullous keratopathy. She developed fungal keratitis after 4 weeks. Aspergillus sp. was isolated from the corneal scraping. The patient was treated with systemic and topical antifungal medication. Although AMT is safe, there is a risk of microbial infection after the procedure especially in poor ocular surfaces.
Kindly provided by Dr Sujata Das, Balasubramanya Ramamurthy and Virender S. Sangwan L V Prasad Eye Institute, Hyderabad, Andhra Pradesh, India