Br J Ophthalmol 88:847-848 doi:10.1136/bjo.2003.031955
  • Letter

Aspergillus keratitis following corneal foreign body

  1. B Fahad1,
  2. M McKellar2,
  3. M Armstrong3,
  4. D Denning4,
  5. A Tullo5
  1. 1Manchester Royal Eye Hospital, Manchester, UK
  2. 2Department of Ophthalmology, Christchurch Hospital, New Zealand
  3. 3Department of Microbiology, Manchester Royal Infirmary, Manchester, UK
  4. 4Department of Infectious disease, Wythenshawe Hospital, Manchester, UK
  5. 5Manchester Royal Eye Hospital, Manchester, UK
  1. Correspondence to: A Tullo Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WH, UK;
  • Accepted 17 November 2003

Recognition, diagnosis, and management of fungal keratitis remain difficult despite significant advances in our understanding of the disease.1–4

We report three cases secondary to corneal foreign body which were managed at Manchester Royal Eye Hospital (MREH)

Case reports

Case 1

A 22 year old man presented to MREH with a metallic corneal foreign body that was removed; chloramphenicol eye drops were prescribed.

He returned 3 days later with pain, hand movement vision, a round corneal ulcer, and a hypopyon. A corneal scrape was performed and he was treated with intensive topical antibiotics. The Gram stain showed few fungal hyphae which were thought to be contaminants. The patient was reviewed by the corneal service 6 days after his injury. As the patient was clinically improving, …