Therapeutic keratoplasty in a case of fungal keratitis with lattice dystrophy

Abstract

We report a case of fungal keratitis in a patient with lattice dystrophy who underwent successful therapeutic keratoplasty. A 30-year-old female presented with advanced microbial keratitis in left eye, with lattice dystrophy in both eyes. Scrapping revealed fungal filaments and culture grew Aspergillus flavus. With limbus-to-limbus infiltrate, the patient was posted for emergency left eye therapeutic keratoplasty. At 6-month postoperative period, the patient had a good ambulatory vision with no recurrence. Here, we try to make a point that patients with lattice dystrophy are prone to corneal erosions, making them susceptible to microbial keratitis. Patients should be made aware of this fact and counseled for immediate medical help even after trivial trauma. Therapeutic keratoplasty will be inevitable if they present at an advanced stage.

Keywords

• aspergillus flavus
• fungal keratitis
• lattice dystrophy
• therapeutic keratoplasty