Fungal Conjunctivitis in a Healthy Adult (A case report)

Authors

  • Sunpech Bunyavanich phthalmology Section, The General Police Hospital
  • Anchuree Boonchanya

Keywords:

Fungal conjunctivitis

Abstract

The authors present an interesting case of a healthy 31 year-old man with history of irritation and white
discharge of his left eye for 2 months. His symptoms did not improve after 1 month of antibiotic eye
drops. Ophthalmological examination at our hospital revealed clusters of black particles on the upper
subconjunctival fornix of his left eye. The patient underwent surgical removal. The surgical pathology and
laboratory test reported pigmented septate fungal hyphae.

References

Ayse K, Sengul O: Ocular Fungal Infections. Curr Eye Res 2011, 36, 179–189.

Słowik M, Biernat MM, Urbaniak-Kujda D, et al. Mycotic infections of the eyes. Adv Clin Exp Med. 2015;24:1113-7.

Mishra D, Ranjan P, Mohan N, Sinha B P. Fungal Conjunctivitis: How to Suspect &

Diagnose. DOS Times. 2014;19:57-58.

Vanzzini Zago V1, Alcantara Castro M, Naranjo Tackman R.Support of the laboratory in the diagnosis of fungal ocular infections. Int J Inflam. 2012;2012:643104. doi: 10.1155/2012/643104. Epub 2012 Mar 5.

Sehgal S, Dhawan S, Chhiber S, Sharma M, Talwar P. Frequency and significance of fungal isolations from conjunctival sac and their role in ocular infections. Mycopathologia. 1981;73:17–19.

Sutton DA. Specimen collection, transport, and processing: mycology. In:Murry PR, Baron EJ, Landry ML, Jorgensen JH, Pfaller MA, editors. Manual of clinical microbiology. 9th ed. Washington DC: ASM Press; 2007:1728–36.

Mitsui, Y., and Hanabusa, J.: Corneal infections after cortisone therapy. Br. J. Ophthalmol; 1955:39:244.

Williamson, J., Gordon, A. M., Wood, R.,Dyer, A. M., and Yahya, O. A.: Fungal flora of the conjunctival sac in health and disease. Br. J. Ophthalmol. 1968;52:127.

Cugnani, H. C., Gupta, S., and Talwar, R. S.:Role of opportunistic fungi in ocular infections in Nigeria. Mycopathologia.1977;65:155.

Ando N, Takatori K. Fungal flora of the conjunctival sac. Am J Ophthalmol. 1982;94:67–74.

Segal E, Romano A, Eylan E, Stein R. Fungal flora of the normal conjunctival sac. Mykosen. 1977;20:9-14

Ainley, R. & B. Smith. Fungal Flora of conjuctiva in healthy and diseased eyes. Brit. J. Ophthalmol. 1965;49: 505-515.

Sandhu DK, Randhawa IS, Singh D. The correlation between environmental and ocular fungi. Indian J Ophthalmol 1981;29:177-82.

Laverde S, Moncada LH, Restrepo A, Vera CL. Mycotic keratitis: 5 cases caused by unusual fungi. Sabouraudia 1973;11:119-23.

M J Bharathi, R Ramakrishnan, R Meenakshi, et al. Microbiological diagnosis of infective keratitis: comparative evaluation of direct microscopy and culture results. Br J Ophthalmol. 2006; 90(10): 1271–1276

B. Rautaraya, S. Sharma, S. Kar, S. Das, and S. K. Sahu. Diagnosis and treatment outcome of mycotic keratitis at a tertiary eye care center in eastern india. BMC Ophthalmology. 2011;22;11:39.

Downloads

Published

2019-06-28

Issue

Section

Case Report