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Case Reports
. 2006 Apr;32(4):681-4.
doi: 10.1016/j.jcrs.2006.01.040.

Exophiala dermatitidis keratitis after laser in situ keratomileusis

Seema R Patel  1 , Kristin M Hammersmith, Christopher J Rapuano, Elisabeth J Cohen
Affiliations
Case Reports

Exophiala dermatitidis keratitis after laser in situ keratomileusis

Seema R Patel et al. J Cataract Refract Surg. 2006 Apr.

Abstract

A 52-year-old man had laser in situ keratomileusis in March 2002 and 2 weeks later had a corneal infection that was found to be caused by Exophiala dermatitidis. This infection waxed and waned for 9 months despite therapy with natamycin, itraconazole, and fluconazole but eventually responded to topical amphotericin. He recovered good visual acuity in this eye with a rigid gas-permeable lens. This case shows the importance of selecting the appropriate agent in fungal keratitis.

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