| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 1 | Page : 67-68 |
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Triple trouble: A case report of mixed keratitis
Anand Balasubramaniam, Bhavna R Nandan, Nayana V Gowda
Department of Cornea and Refractive Services, Sankara Eye Hospital, Bangalore, Karnataka, India
Correspondence Address:
Nayana V Gowda
Sankara Eye Hospital, Kundalahalli, Bengaluru - 560 037, Karnataka
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2136_22
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A middle-aged female with previous history of being treated as herpes keratitis, presented with a central deep stromal ulceration and overlying neurotrophic epithelium. On re-scraping, the culture grew Pseudomonas aeruginosa and Aspergillus flavus. Due to the aggressive nature of the organisms, during follow up, a central perforation was noted, for which emergency therapeutic keratoplasty was done and post-operatively medicated with topical eye drops as per culture and sensitivity. Hence, we are presenting this rare case report of Pseudomonas aeruginosa in a non-contact lens user, along with a co-infection of Aspergillus flavus in a previously compromised cornea with herpetic keratitis.
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