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Clin Ophthalmol. 2010 Oct 21;4:1211-5. doi: 10.2147/OPTH.S7953.

Candida albicans keratitis in an immunocompromised patient.

Author information

  • 1Ophthalmology Department, Barnsley Hospital NHS Foundation Trust, South Yorkshire, England, UK. mohammed.hassan2@nhs.net

Abstract

PURPOSE:

When investigating a case of unexplained corneal ulceration, we need to think of fungal infection and any predisposing factors.

METHODS:

A case study of a corneal ulceration in a patient who was HIV positive with a devastating visual outcome.

RESULTS:

Therapeutic corneal graft was necessary due to corneal perforation. Immunocompromised state of patient was retrospectively diagnosed.

CONCLUSIONS:

Candida albicans keratitis is an opportunistic infection of a compromised cornea, and sometimes unknowingly compromised host, which can be initially misdiagnosed. Despite intensive antifungal therapy, occasionally patients require corneal grafting to improve vision, and before it is possible to establish an accurate diagnosis.

KEYWORDS:

HIV; corneal perforation; fungal keratitis; human immunodeficiency virus; keratoplasty

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