Fungal Keratitis

Question 1

What is fungal keratitis

Answer 1

1. Corneal injury involving plant material (common in argricultural setting)

Question 2

What are the signs of fungal keratitis

Answer 2

1. Superficial painless ulcer, grayish infiltrate, marked inflammation
   *feathery appearance
   *satelliate lesions
   *multiple stromal abscesses
2. Hyopyon
   *accumulation of white blood cells tat form a whitish layer of fluids in the lower portion of the eyes anterior chamber)

Question 3

What needs to happen if a patient presents with a Fungal keratitis

Answer 3

Emergent referral for ophthalmology
1. Scrapings form ulcer
*KOH Hyphae present
2. Corneal grafting often required

Question 4

What ATB to use for fungal keratitis

Answer 4

1. Natamycin
2. Amphotericin
3. Voriconzaole (topical)
4. Systemic imidazole