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CASE REPORT
Year : 2022  |  Volume : 60  |  Issue : 1  |  Page : 92-95

Therapeutic keratoplasty in a case of fungal keratitis with lattice dystrophy


Department of Cornea and Refractive Surgery, Sankara Eye Hospital, Guntur, Andhra Pradesh, India

Correspondence Address:
Dr. V Nishant Janardhana Raju
Sankara Eye Hospital, Vijayawada, Guntur Expressway, Pedakakani, Guntur - 522 509, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_64_21

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We report a case of fungal keratitis in a patient with lattice dystrophy who underwent successful therapeutic keratoplasty. A 30-year-old female presented with advanced microbial keratitis in left eye, with lattice dystrophy in both eyes. Scrapping revealed fungal filaments and culture grew Aspergillus flavus. With limbus-to-limbus infiltrate, the patient was posted for emergency left eye therapeutic keratoplasty. At 6-month postoperative period, the patient had a good ambulatory vision with no recurrence. Here, we try to make a point that patients with lattice dystrophy are prone to corneal erosions, making them susceptible to microbial keratitis. Patients should be made aware of this fact and counseled for immediate medical help even after trivial trauma. Therapeutic keratoplasty will be inevitable if they present at an advanced stage.


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