Abstract

A 40 year old female patient complaints of redness, pain and DOV in the L/E since 15 days with no history of trauma.
There was conjunctival and circumciliary congestion . There was stain positive corneal ulcer of size 3×3 mm. Ulcer has feathery margins and surrounded by stromal infiltrates.Stromal edema was present. Hypopyon of 2.5 mm was present. Vision was hand movement close to face in the left eye.
Microbioloical Examination – Corneal scraping sent for gram staining , KOH mount and culture & sensitivity. Gram staining shows fungal growth.
Treatment – Initially , Patient was started on e/d natamycin 5%, e/d moxifloxacin 0.5%, e/d atropine 1 %. After 3 days, culture report showing growth of colletotricum species. Fortified amphotericin B was started and E/D natamycin was discontinued. Patient showed symptomatic improvement after 15 days.
RESULTS AND CONCLUSION – Due to lost to follow up and non compliance of patient, patient had perforation in the left eye.