Immediate postoperative keratitis caused by species following standard CXL for keratoconus: A case report and literature review.

Meenakshi Ravindran, Anitha Venugopal

Journal: European journal of ophthalmology 2024;34(4):967-972

PMID: 38623696

Abstract

PURPOSE

To report the first case of Rhizopus sp keratitis in a 15-year-old male patient who had undergone a conventional Epi-off CXL procedure for progressive keratoconus.

METHODS

A 15-year-old male studying at school presented with defective vision in both eyes recently. He was diagnosed with progressive keratoconus in the right eye more than left eye. After the conventional CXL procedure, the patient developed corneal ulcer on third postoperative day.

RESULTS

The microbiological diagnosis of both BCL and ulcer revealed sp. The patient responded to topical antifungals, and the ulcer entirely healed with a large central scar.

CONCLUSION

keratitis is rare in a healthy individual. Ours is the first case report of keratitis in patient undergone CXL.

Address: Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Tirunelveli, TN, India.; Paediatric and Strabismus Surgery, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Tirunelveli, TN, India.

DOI: 10.1177/11206721241247589

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MeSH Terms: Humans, Male, Keratoconus, Adolescent, Photosensitizing Agents, Rhizopus, Riboflavin, Eye Infections, Fungal, Cross-Linking Reagents, Photochemotherapy, Mucormycosis, Postoperative Complications, Ultraviolet Rays, Corneal Ulcer, Antifungal Agents, Corneal Stroma, Visual Acuity, Corneal Topography, Keratitis