Abstract

STUDY DESIGN Case report
PURPOSE: to evaluate the differential diagnosis of PINK TEARS
METHODS: A 13-year-old female presented with chief complaint of pink tears from both eyes ocassionally since 2.5 months. Previous conjunctival swab HPE was suggestive of necroinflammatory slough with foreign body material & degenerated fungal elements for which she received topical and oral antibiotics. Ocular examination revealed few papillae in upper tarsal conjunctiva in both eyes. The CBC and coagulation profile was normal. Fungal staining and culture of conjunctival secretions was further advised.
RESULT: Culture report was positive for Aspergillus nidulans. Hence, patient was started on therapeutic trial with oral Voriconazole and topical Natamycin, since which, patient has been asymptomatic.
CONCLUSION: Ocular fungal infection may present as pink tears.