CASE REPORT |
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Year : 2012 | Volume
: 19
| Issue : 2 | Page : 265-268 |
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Combination of intracameral and intrastromal voriconazole in the treatment of recalcitrant Acremonium fungal keratitis
Randa S Haddad, Georges M El-Mollayess
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon
Correspondence Address:
Randa S Haddad American University of Beirut - Medical Center, P.O. Box 11-0236/D27, Beirut Lebanon
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-9233.95271
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We present a report of a 28-year-old female with fungal keratitis due to Acremonium that was unresponsive to full medical therapy over 3 weeks. The patient was treated with superficial keratectomy, intrastromal and intracameral voriconazole injections. There was a marked clinical improvement beginning on day 3 post-therapy that was sustained until the last follow-up at 6 months. This is the first case of fungal keratitis due to Acremonium treated by a combination of intrastromal and intracameral voriconazole. This cost-effective treatment modality proved to be significant in impeding the progression of this potentially blinding disease and improving visual prognosis. |
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