EXOPHIALA-JEANSELMEI KERATITIS

We present the case of a 42-year-old Saudi male with a fungal corneal abscess in his left eye. The aetiological agent was found to be the de matiaceous fungus Exophiala jeanselmei. The patient was treated with t opical natamycin, miconazole, and also amphotericin B. During the cour se of the infection corneal perforation occurred which was treated wit h cyanocrylate glue. Secondary glaucoma resulted from peripheral anter ior synechia which necessitated trabeculectomy. At the end of the cour se the infection was successfully eradicated, the complications were c ured, and vision improved from counting fingers in front of the face a t presentation to 20/80. There was no recurrence of the infection in a follow-up period of 2 years.