SCEDOSPORIUM PROLIFICANS CORNEOSCLERITIS - A SUCCESSFUL OUTCOME

Background: A case of Scedosporium prolificans corneoscleritis is repo rted in a patient who had developed scleral necrosis following pterygi um surgery, with adjunctive beta-irradiation. This fungus has been rep orted to be the causative organism in only two previous cases of corne oscleritis. Methods: The patient presented with signs and symptoms typ ical of corneoscleritis. When the fungus was isolated from a biopsy sp ecimen, aggressive scleral debridement was carried out and intensive a ntifungal therapy was instigated. Results: After a prolonged course, t he eye was rendered sterile. Conclusion: Early conjunctival recession and aggressive scleral debridement combined with intensive instillatio n of antifungals are crucial to the successful management of fungal co rneoscleritis.