Keratomycosis complicating pterygium excision

The authors describe a case of keratomycosis that appeared after the exeresis of a pterygium. A 48-year-old patient had been referred with a red right eye associated with an abscess of the cornea along the ablation zone of the pterygium. The surgery had been performed a month beforehand. The abscess...

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Main Authors:	Merle, Harold, Guyomarch, Jérôme, Joyaux, Jean-Christophe, Dueymes, Maryvonne, Donnio, Angélique, Desbois, Nicole
Format:	Online
Language:	English
Published:	Dove Medical Press 2011
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198420/

id	pubmed-3198420
recordtype	oai_dc
spelling	pubmed-31984202011-10-27 Keratomycosis complicating pterygium excision Merle, Harold Guyomarch, Jérôme Joyaux, Jean-Christophe Dueymes, Maryvonne Donnio, Angélique Desbois, Nicole Case Report The authors describe a case of keratomycosis that appeared after the exeresis of a pterygium. A 48-year-old patient had been referred with a red right eye associated with an abscess of the cornea along the ablation zone of the pterygium. The surgery had been performed a month beforehand. The abscess was 6 mm high and 4 mm wide. The authors instigated a treatment that included amphotericin B (0.25%) after noticing a clinical aspect evoking a fungal keratitis and finding several septate filaments on direct examination. On day 10, a Fusarium dimerum was isolated on Sabouraud agar. After 15 days of treatment, the result was favorable and the size of the ulceration as well as the size of the abscess had progressively decreased. The antifungal treatment was definitively stopped at 14 weeks. Infectious-related complications of the pterygium surgery are rare and are essentially caused by bacterial agents. Secondary infections by fungus are rare. There have been two previous cases reported: one that appeared 15 years after radiotherapy and another that appeared at 3 weeks post surgery, consecutive to the use of mitomycin C. To the authors’ knowledge, this is the first case of a keratomycosis due to F. dimerum reported that complicated the exeresis of a pterygium without the use of an adjuvant antihealing treatment. Pterygium surgery is a common procedure; nevertheless, ophthalmologists need to be aware of the existence of potential infectious complications. Dove Medical Press 2011 2011-10-04 /pmc/articles/PMC3198420/ /pubmed/22034566 http://dx.doi.org/10.2147/OPTH.S23293 Text en © 2011 Merle et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Merle, Harold Guyomarch, Jérôme Joyaux, Jean-Christophe Dueymes, Maryvonne Donnio, Angélique Desbois, Nicole
spellingShingle	Merle, Harold Guyomarch, Jérôme Joyaux, Jean-Christophe Dueymes, Maryvonne Donnio, Angélique Desbois, Nicole Keratomycosis complicating pterygium excision
author_facet	Merle, Harold Guyomarch, Jérôme Joyaux, Jean-Christophe Dueymes, Maryvonne Donnio, Angélique Desbois, Nicole
author_sort	Merle, Harold
title	Keratomycosis complicating pterygium excision
title_short	Keratomycosis complicating pterygium excision
title_full	Keratomycosis complicating pterygium excision
title_fullStr	Keratomycosis complicating pterygium excision
title_full_unstemmed	Keratomycosis complicating pterygium excision
title_sort	keratomycosis complicating pterygium excision
description	The authors describe a case of keratomycosis that appeared after the exeresis of a pterygium. A 48-year-old patient had been referred with a red right eye associated with an abscess of the cornea along the ablation zone of the pterygium. The surgery had been performed a month beforehand. The abscess was 6 mm high and 4 mm wide. The authors instigated a treatment that included amphotericin B (0.25%) after noticing a clinical aspect evoking a fungal keratitis and finding several septate filaments on direct examination. On day 10, a Fusarium dimerum was isolated on Sabouraud agar. After 15 days of treatment, the result was favorable and the size of the ulceration as well as the size of the abscess had progressively decreased. The antifungal treatment was definitively stopped at 14 weeks. Infectious-related complications of the pterygium surgery are rare and are essentially caused by bacterial agents. Secondary infections by fungus are rare. There have been two previous cases reported: one that appeared 15 years after radiotherapy and another that appeared at 3 weeks post surgery, consecutive to the use of mitomycin C. To the authors’ knowledge, this is the first case of a keratomycosis due to F. dimerum reported that complicated the exeresis of a pterygium without the use of an adjuvant antihealing treatment. Pterygium surgery is a common procedure; nevertheless, ophthalmologists need to be aware of the existence of potential infectious complications.
publisher	Dove Medical Press
publishDate	2011
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198420/
_version_	1611482442217029632

Keratomycosis complicating pterygium excision

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