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Fungal keratitis.
J Fr Ophtalmol 2017; 40(9):e307-e313JF

Abstract

Fungal keratitis, or keratomycoses, are corneal infections which must be considered in cases of corneal trauma, prior corneal surgery, chronic ocular surface disease, topical corticosteroids or contact lens wear. Filamentous fungi or yeasts may be involved. Presenting clinical features such as corneal infiltrates with feathery edges and/or raised surface, intact epithelium with deep stromal involvement, satellite lesions, endothelial plaques, lack of improvement with antibiotics and worsening with steroids are suggestive of fungal keratitis. Corneal scraping for laboratory examination is mandatory. Medical management with antifungal eye drops and systemic agents should be started as soon as possible. Surgical interventions are required in a significant number of cases to control the infection. The prognosis of fungal keratitis is worse than that of bacterial keratitis.

Authors+Show Affiliations

Ophthalmology, Nouvel Hôpital Civil, EA7290, FMTS, University Hospitals and University of Strasbourg, BP 426, 67091 Strasbourg, France. Electronic address: tristan.bourcier@chru-strasbourg.fr.Ophthalmology, Nouvel Hôpital Civil, EA7290, FMTS, University Hospitals and University of Strasbourg, BP 426, 67091 Strasbourg, France.Pharmacy, Nouvel Hôpital Civil, FMTS, University Hospitals and University of Strasbourg, BP 426, 67091 Strasbourg, France.Parasitology - Mycology, Microbiology Technical Platform, Nouvel Hôpital Civil, FMTS, University Hospitals and University of Strasbourg, BP 426, 67091 Strasbourg, France.Parasitology - Mycology, Microbiology Technical Platform, Nouvel Hôpital Civil, FMTS, University Hospitals and University of Strasbourg, BP 426, 67091 Strasbourg, France.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28987448

Citation

Bourcier, T, et al. "Fungal Keratitis." Journal Francais D'ophtalmologie, vol. 40, no. 9, 2017, pp. e307-e313.
Bourcier T, Sauer A, Dory A, et al. Fungal keratitis. J Fr Ophtalmol. 2017;40(9):e307-e313.
Bourcier, T., Sauer, A., Dory, A., Denis, J., & Sabou, M. (2017). Fungal keratitis. Journal Francais D'ophtalmologie, 40(9), pp. e307-e313. doi:10.1016/j.jfo.2017.08.001.
Bourcier T, et al. Fungal Keratitis. J Fr Ophtalmol. 2017;40(9):e307-e313. PubMed PMID: 28987448.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fungal keratitis. AU - Bourcier,T, AU - Sauer,A, AU - Dory,A, AU - Denis,J, AU - Sabou,M, Y1 - 2017/10/04/ PY - 2017/04/24/received PY - 2017/07/03/revised PY - 2017/08/29/accepted PY - 2017/10/11/pubmed PY - 2018/7/28/medline PY - 2017/10/9/entrez KW - Abscess KW - Antifungals KW - Cornea KW - Filamentous KW - Fungus KW - Keratitis KW - Mycosis KW - Scraping KW - Yeast SP - e307 EP - e313 JF - Journal francais d'ophtalmologie JO - J Fr Ophtalmol VL - 40 IS - 9 N2 - Fungal keratitis, or keratomycoses, are corneal infections which must be considered in cases of corneal trauma, prior corneal surgery, chronic ocular surface disease, topical corticosteroids or contact lens wear. Filamentous fungi or yeasts may be involved. Presenting clinical features such as corneal infiltrates with feathery edges and/or raised surface, intact epithelium with deep stromal involvement, satellite lesions, endothelial plaques, lack of improvement with antibiotics and worsening with steroids are suggestive of fungal keratitis. Corneal scraping for laboratory examination is mandatory. Medical management with antifungal eye drops and systemic agents should be started as soon as possible. Surgical interventions are required in a significant number of cases to control the infection. The prognosis of fungal keratitis is worse than that of bacterial keratitis. SN - 1773-0597 UR - https://www.unboundmedicine.com/medline/citation/28987448/Fungal_keratitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0181-5512(17)30295-4 DB - PRIME DP - Unbound Medicine ER -