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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 3 | Page : 843 |
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Fungal corneal ulcer seen in fluorescein stain
Dipankar Das1, Mohit Garg2, Sangeeta Kalita2, Riddhi Raichura2, Apurba Deka3
1 Department of Ocular Pathology, Uveitis and Neuro-Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
2 Department of Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
3 Department of Ocular Pathology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
| Date of Web Publication | 16-Jul-2022 |
Correspondence Address:
Dr. Dipankar Das
Department of Ocular Pathology, Uveitis and Neuro-Ophthalmology, Sri Sankaradeva Nethralaya, 96 Basistha Road, Beltola, Guwahati, Assam
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_814_22
How to cite this article:
Das D, Garg M, Kalita S, Raichura R, Deka A. Fungal corneal ulcer seen in fluorescein stain. Indian J Ophthalmol Case Rep 2022;2:843 |
A 41-year-old farmer with a dry looking corneal ulcer in the right cornea for 4 weeks. There were adjoining satellite lesions without any hypopyon [Figure 1]a. His vision was 20/200; N.36 in the right eye. Past history revealed injury with paddy husk to that eye. He was treated with antibiotics by previous ophthalmologist. Corneal scrapping revealed drug depositions on the scrapping material [Figure 1]b, and rapid fluorescein stain[1],[2] showed septate fungus which was later confirmed by 10% potassium hydroxide stain [Figure 1]c. This was the first documented fungal septate by rapid fluorescein stain, and subsequently fungal culture was positive for Aspergillus fumigates. The patient was treated with natamycin and atropine eye drops.[3] | Figure 1: (a) Clinical photograph of the right eye showing a dry looking corneal ulcer, 1.5 × 2 mm in size with satellite lesions (Black arrow). (b) Corneal scrapping done with number 15 surgical blade showing drug deposits (White arrow). (c) Septate fungus under fluorescein stain (× 100X)
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Acknowledgements
Mr. Kamal Das, Technician, Microbiology Department, Sri Sankaradeva Nethralaya, Guwahati, India.
Mr. Pankaj Goswami, EDP In-charge, Sri Sankaradeva Nethralaya, Guwahati, India.
Sri Kanchi Sankara Health and Educational Foundation.
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 | |  |
| 1. | Das D, Deka P, Bhattacharjee H, Deshmukh S, Gupta P, Deka A, et al. Fluorescein dye as a novel cost-effective approach for staining raw specimens in ophthalmic pathology. Indian J Ophthalmol 2020;68:2175-8.  [ PUBMED] [Full text] |
| 2. | Das D, Deshmukh S, Bhattacharjee H, Latsaheb B, Chirania P, Deka A. Molluscum contagiosum as seen by fluorescein stain. Indian J Ophthalmol Case Rep 2022;2:334. [Full text] |
| 3. | Ansari Z, Miller D, Galor A. Current thoughts in fungal keratitis: Diagnosis and treatment. Curr Fungal Infect Rep 2013;7:209-18. |
[Figure 1]
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