Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2832 |
Resumo: | Purpose: To describe a rare case of an interface filamentous fungal keratitis and its successful clinical approach and management. Patients and methods: Retrospective case report. Analysis of the patient's clinical records. Results: A healthy 30-year-old woman presenting with complaints of blurred vision, photophobia and intense pain, was previously diagnosed with a suspected unilateral diffuse lamellar keratitis after laser in situ keratomileusis surgery, and accordingly treated with a scheme of oral and subconjunctival corticosteroids. Due to worsening of symptoms, the patient was later referred to our ophthalmology department. Upon examination, a corneal infiltration was observed and a fungal infection was suspected. Treatment with fortified Voriconazole (1%) was initiated and both topical and oral corticosteroids were tapered. The infiltrate resolved after 6 weeks of antifungal topical treatment. Scopulariopsis brevicaulis was isolated on culture media. At the end of follow-up, the uncorrected distance visual acuity was 20/20 with mild scarring. Conclusion: Scopulariopsis brevicaulis can be associated with post-laser in situ keratomileusis interface infection. A quick intervention may dictate a good outcome, when combining early suspicion and microbiological diagnosis, and an appropriate conservative management. Furthermore, Voriconazole seems to be effective and safe in the treatment of such cases. |
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Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case ReportScopulariopsis brevicaulisfungus; keratitislaser in situ keratomileusislaser vision correctionPurpose: To describe a rare case of an interface filamentous fungal keratitis and its successful clinical approach and management. Patients and methods: Retrospective case report. Analysis of the patient's clinical records. Results: A healthy 30-year-old woman presenting with complaints of blurred vision, photophobia and intense pain, was previously diagnosed with a suspected unilateral diffuse lamellar keratitis after laser in situ keratomileusis surgery, and accordingly treated with a scheme of oral and subconjunctival corticosteroids. Due to worsening of symptoms, the patient was later referred to our ophthalmology department. Upon examination, a corneal infiltration was observed and a fungal infection was suspected. Treatment with fortified Voriconazole (1%) was initiated and both topical and oral corticosteroids were tapered. The infiltrate resolved after 6 weeks of antifungal topical treatment. Scopulariopsis brevicaulis was isolated on culture media. At the end of follow-up, the uncorrected distance visual acuity was 20/20 with mild scarring. Conclusion: Scopulariopsis brevicaulis can be associated with post-laser in situ keratomileusis interface infection. A quick intervention may dictate a good outcome, when combining early suspicion and microbiological diagnosis, and an appropriate conservative management. Furthermore, Voriconazole seems to be effective and safe in the treatment of such cases.Dove Medical PressRepositório Científico do Centro Hospitalar Universitário de Santo AntónioBaptista, Pedro ManuelVieira, RitaMonteiro, SílviaAbreu, Ana CarolinaGomes, MiguelPinto, Maria do Céu2023-10-23T08:51:56Z2021-022021-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2832engBaptista PM, Vieira R, Monteiro S, Abreu AC, Gomes M, Pinto MDC. Keratitis by Scopulariopsis brevicaulis Fungus After LASIK - A Case Report. Int Med Case Rep J. 2021;14:107-110. doi:10.2147/IMCRJ.S2994541179-142X10.2147/IMCRJ.S299454info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-26T05:19:14Zoai:repositorio.chporto.pt:10400.16/2832Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:39:38.389928Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report |
title |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report |
spellingShingle |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report Baptista, Pedro Manuel Scopulariopsis brevicaulis fungus; keratitis laser in situ keratomileusis laser vision correction |
title_short |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report |
title_full |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report |
title_fullStr |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report |
title_full_unstemmed |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report |
title_sort |
Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report |
author |
Baptista, Pedro Manuel |
author_facet |
Baptista, Pedro Manuel Vieira, Rita Monteiro, Sílvia Abreu, Ana Carolina Gomes, Miguel Pinto, Maria do Céu |
author_role |
author |
author2 |
Vieira, Rita Monteiro, Sílvia Abreu, Ana Carolina Gomes, Miguel Pinto, Maria do Céu |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Baptista, Pedro Manuel Vieira, Rita Monteiro, Sílvia Abreu, Ana Carolina Gomes, Miguel Pinto, Maria do Céu |
dc.subject.por.fl_str_mv |
Scopulariopsis brevicaulis fungus; keratitis laser in situ keratomileusis laser vision correction |
topic |
Scopulariopsis brevicaulis fungus; keratitis laser in situ keratomileusis laser vision correction |
description |
Purpose: To describe a rare case of an interface filamentous fungal keratitis and its successful clinical approach and management. Patients and methods: Retrospective case report. Analysis of the patient's clinical records. Results: A healthy 30-year-old woman presenting with complaints of blurred vision, photophobia and intense pain, was previously diagnosed with a suspected unilateral diffuse lamellar keratitis after laser in situ keratomileusis surgery, and accordingly treated with a scheme of oral and subconjunctival corticosteroids. Due to worsening of symptoms, the patient was later referred to our ophthalmology department. Upon examination, a corneal infiltration was observed and a fungal infection was suspected. Treatment with fortified Voriconazole (1%) was initiated and both topical and oral corticosteroids were tapered. The infiltrate resolved after 6 weeks of antifungal topical treatment. Scopulariopsis brevicaulis was isolated on culture media. At the end of follow-up, the uncorrected distance visual acuity was 20/20 with mild scarring. Conclusion: Scopulariopsis brevicaulis can be associated with post-laser in situ keratomileusis interface infection. A quick intervention may dictate a good outcome, when combining early suspicion and microbiological diagnosis, and an appropriate conservative management. Furthermore, Voriconazole seems to be effective and safe in the treatment of such cases. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-02 2021-02-01T00:00:00Z 2023-10-23T08:51:56Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2832 |
url |
http://hdl.handle.net/10400.16/2832 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Baptista PM, Vieira R, Monteiro S, Abreu AC, Gomes M, Pinto MDC. Keratitis by Scopulariopsis brevicaulis Fungus After LASIK - A Case Report. Int Med Case Rep J. 2021;14:107-110. doi:10.2147/IMCRJ.S299454 1179-142X 10.2147/IMCRJ.S299454 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Dove Medical Press |
publisher.none.fl_str_mv |
Dove Medical Press |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133657961594880 |