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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 1  |  Page : 10

Intracameral fungal bridge


Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication31-Dec-2020

Correspondence Address:
Dr. Rajesh Sinha
Professor, Cornea, Lens and Refractive Surgery Services, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_646_20

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How to cite this article:
Asif MI, Lata S, Shristi, Bafna RK, Sinha R. Intracameral fungal bridge. Indian J Ophthalmol Case Rep 2021;1:10

How to cite this URL:
Asif MI, Lata S, Shristi, Bafna RK, Sinha R. Intracameral fungal bridge. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Mar 3];1:10. Available from: https://www.ijoreports.in/text.asp?2021/1/1/10/305534



A 17-year-old female, with a history of trauma with an unknown object while driving, presented with painless diminution of vision, redness, and whitish opacification in the left eye for 2 months with visual acuity of 20/200. Slit-lamp biomicroscopy revealed deep stromal infiltrate of 5*5 mm with grayish-white stalk extending from endothelium to anterior capsule of the lens [Figure 1]a and [Figure 1]b. A clinical diagnosis of fungal keratitis was made. Confocal microscopy revealed filamentous structures suggestive of fungal hyphae [Figure 1]c and suture biopsy culture revealed Aspergillus fumigatus [Figure 1]d. We highlight that fungal keratitis along with other typical features[1],[2],[3],[4],[5] may also present with an atypical fungal bridge in the anterior chamber.
Figure 1: (a) Diffuse slit-lamp image depicting the corneal involvement; (b) Patient on looking inferonasally grayish white infiltrate extending from the endothelial side of the cornea up to the anterior capsule of the lens with the slit illumination; (c) Confocal microscopy revealing multiple filamentous structures suggestive of fungal hyphae; (d) Microbiological examination revealing fungal elements

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Said DG, Otri M, Miri A, Kailasanathan A, Khatib T, Dua HS. The challenge of fungal keratitis. Br J Ophthalmol 2011;95:1623-4.  Back to cited text no. 1
    
2.
Thomas PA, Kaliamurthy J. Mycotic keratitis: Epidemiology, diagnosis and management. Clin Microbiol Infect 2013;19:210-20.  Back to cited text no. 2
    
3.
Leck AK, Thomas PA, Hagan M, Kaliamurthy J, Ackuaku E, John M, et al. Aetiology of suppurative corneal ulcers in Ghana and South India, and epidemiology of fungal keratitis. Br J Ophthalmol 2002;86:1211-5.  Back to cited text no. 3
    
4.
Bharathi MJ, Ramakrishnan R, Vasu S, Meenakshi R, Palaniappan R. Epidemiological characteristics and laboratory diagnosis of fungal keratitis. A three-year study. Indian J Ophthalmol 2003;51:315.  Back to cited text no. 4
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5.
Srinivasan M, Gonzales CA, George C, Cevallos V, Mascarenhas JM, Asokan B, et al. Epidemiology and aetiological diagnosis of corneal ulceration in Madurai, South India. Br J Ophthalmol 1997;81:965-71.  Back to cited text no. 5
    


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