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[Fungal keratitis].
J Fr Ophtalmol 2017; 40(10):882-888JF

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

Service d'ophtalmologie, Nouvel hôpital civil, EA7290, FMTS, hôpitaux universitaires, université de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France. Electronic address: tristan.bourcier@chru-strasbourg.fr.Service d'ophtalmologie, Nouvel hôpital civil, EA7290, FMTS, hôpitaux universitaires, université de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.Service de pharmacie, Nouvel hôpital civil, FMTS, hôpitaux universitaires, université de Strasbourg, BP 426, 67091 Strasbourg, France.Service de parasitologie - mycologie, plateau technique de microbiologie, Nouvel hôpital civil, FMTS, hôpitaux universitaires, université de Strasbourg, BP 426, 67091 Strasbourg, France.Service de parasitologie - mycologie, plateau technique de microbiologie, Nouvel hôpital civil, FMTS, hôpitaux universitaires, université de Strasbourg, BP 426, 67091 Strasbourg, France.

Pub Type(s)

Journal Article
Review

Language

fre

PubMed ID

29150029

Citation

Bourcier, T, et al. "[Fungal Keratitis]." Journal Francais D'ophtalmologie, vol. 40, no. 10, 2017, pp. 882-888.
Bourcier T, Sauer A, Dory A, et al. [Fungal keratitis]. J Fr Ophtalmol. 2017;40(10):882-888.
Bourcier, T., Sauer, A., Dory, A., Denis, J., & Sabou, M. (2017). [Fungal keratitis]. Journal Francais D'ophtalmologie, 40(10), pp. 882-888. doi:10.1016/j.jfo.2017.05.013.
Bourcier T, et al. [Fungal Keratitis]. J Fr Ophtalmol. 2017;40(10):882-888. PubMed PMID: 29150029.
* 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 - 2017/11/14/ PY - 2017/04/24/received PY - 2017/05/02/accepted PY - 2017/11/19/pubmed PY - 2018/7/31/medline PY - 2017/11/19/entrez KW - Abcès KW - Abscess KW - Antifongique KW - Antifungals KW - Champignon KW - Cornea KW - Cornée KW - Filamenteux KW - Filamentous KW - Fungus KW - Grattage KW - Keratitis KW - Kératite KW - Levure KW - Mycose KW - Mycosis KW - Scraping KW - Yeast SP - 882 EP - 888 JF - Journal francais d'ophtalmologie JO - J Fr Ophtalmol VL - 40 IS - 10 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/29150029/[Fungal_keratitis]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0181-5512(17)30376-5 DB - PRIME DP - Unbound Medicine ER -