DR. GARVITA DABAS

DR.SUMAN BHARTIYA, DR. SWATI AGARWAL, DR. PRACHI SHUKLA

Abstract

PURPOSE: To report a unique case of keratitis

METHODS: A 52-year-old female presented to Eye OPD with pain, redness and diminution of vision in left eye for 5 days after trauma by a sugarcane leaf. Patient seeked immediate assistance at a local doctor where topical drops were given but her symptoms did not relieve, for which she wanted a second opinion.On slit-lamp examination, there was an ulcer 5mm x 5mm present at paracentral temporal quadrant, with dendritic pattern of infiltration in periphery with dry dirty white in centre with portion of thorn present at the centre of lesion. A dilemma was present about the viral or a fungal aetiology of the ulcer. Empirical treatment for both was started and was modified under close follow-up.

RESULT: Patient showed improvement.

CONCLUSIONS: Scraping should be sent for both KOH and Grams stain, no matter if the patient has taken treatment from outside. Negative fungal hyphae do not rule out fungal corneal ulcer.

FINANCIAL DISCLOSURE: Nil