Keratomycosis after cataract surgery

Purpose: To evaluate cases and results of keratomycosis that developed afte r cataract surgery. Setting: Hospital de Guipuzcoa, San Sebastian, Spain. Methods: This retrospective study comprised 8 patients who developed kerato mycosis soon after cataract surgery. Results: Culture analysis revealed 7 cases of Aspergillus fumigatus and 1 o f Aspergillus flavus. After medical treatment with antifungal agents, 6 cas es resolved and 2 required evisceration. Conclusions: The presence of fungi in corneal ulcers that develop after cat aract surgery should be considered. Initiation of early treatment determine s the prognosis. Among the therapeutic options, collagen shields soaked in amphotericin B may be effective. J Cataract Refract Surg 2000; 26: 1660-166 6 (C) 2000 ASCRS and ESCRS.