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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, …