Schwerste kontaktlinsenassoziierte mykotische Keratitis

TY - JOUR

T1 - Schwerste kontaktlinsenassoziierte mykotische Keratitis

AU - Eddy, M-T

AU - Steinberg, J

AU - Richard, G

AU - Hassenstein, A

PY - 2012/11/1

Y1 - 2012/11/1

N2 - A 23-year-old man presented with severe contact lens-associated keratitis and descemetocele with pre-existing drug therapy. After 1 week of intensive antibiotic treatment Aspergillus fumigatus was identified. Despite adjusted antimycotic treatment a corneal perforation occurred. Due to peripheral scleral infiltration the cornea was primarily closed with a double layer amniotic membrane in order to avoid a sclerokeratoplasty with a bad prognosis. After 2 weeks the peripheral corneal situation stabilized and a simple keratoplasty á chaud could be performed. After surgery and adjusted drug therapy, no adequate signs of recovery occured. In repeated microbiological testing an additional Candida albicans infection was diagnosed and therapy was readjusted. This resulted in a cure of the corneal infection. After 5 years and a re-keratoplasty the patient presented with a clear corneal transplant and a corrected visual acuity of 20/25.

AB - A 23-year-old man presented with severe contact lens-associated keratitis and descemetocele with pre-existing drug therapy. After 1 week of intensive antibiotic treatment Aspergillus fumigatus was identified. Despite adjusted antimycotic treatment a corneal perforation occurred. Due to peripheral scleral infiltration the cornea was primarily closed with a double layer amniotic membrane in order to avoid a sclerokeratoplasty with a bad prognosis. After 2 weeks the peripheral corneal situation stabilized and a simple keratoplasty á chaud could be performed. After surgery and adjusted drug therapy, no adequate signs of recovery occured. In repeated microbiological testing an additional Candida albicans infection was diagnosed and therapy was readjusted. This resulted in a cure of the corneal infection. After 5 years and a re-keratoplasty the patient presented with a clear corneal transplant and a corrected visual acuity of 20/25.

KW - Antifungal Agents

KW - Aspergillosis

KW - Candidiasis

KW - Combined Modality Therapy

KW - Contact Lenses

KW - Corneal Transplantation

KW - Eye Infections, Fungal

KW - Humans

KW - Keratitis

KW - Male

KW - Treatment Outcome

KW - Young Adult

U2 - 10.1007/s00347-012-2570-7

DO - 10.1007/s00347-012-2570-7

M3 - SCORING: Zeitschriftenaufsatz

C2 - 22940808

VL - 109

SP - 1106

EP - 1111

JO - OPHTHALMOLOGE

JF - OPHTHALMOLOGE

SN - 0941-293X

IS - 11

ER -