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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2014  |  Volume : 21  |  Issue : 1  |  Page : 92-94

Alternaria keratitis after deep anterior lamellar keratoplasty

Department of Cornea, Lotus Eye Care Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Mekhla Naik
Lotus Eye Care Hospital, Coimbatore - 641 014, Tamil Nadu
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Source of Support: Lotus vision research fund, Conflict of Interest: None

DOI: 10.4103/0974-9233.124121

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To describe a case of Alternaria keratitis in a 30-year-old male patient who presented with bilateral vascularised central corneal opacity and underwent deep anterior lamellar keratoplasty (DALK) in the left eye. Patient was treated for recurrent epithelial defect with a bandage contact lens in the follow-up visits after DALK. Subsequently, patient presented with pigmented fungal keratitis, which on culture examination of the corneal scrapping demonstrated Alternaria species. Patient had to undergo a repeat DALK as the keratitis did not resolve with medical therapy alone. Patient did not have a recurrence for 11 months following the regraft. This case report highlights the importance of considering the Alternaria species as a possibile cause of non-resolving fungal keratitis after DALK.

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