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Non-tuberculous mycobacteria related infectious crystalline keratopathy
  1. T Umapathy1,
  2. R Singh1,
  3. H S Dua1,
  4. F Donald2
  1. 1Division of Ophthalmology and Visual Sciences, Queens Medical Centre, University Hospital, Nottingham, UK
  2. 2Department of Microbiology, Queens Medical Centre, University Hospital, Nottingham, UK
  1. Correspondence to: H S Dua Division of Ophthalmology, B Floor, Eye ENT Centre, University Hospital, Queens Medical Centre, Nottingham NG7 2UH, UK; harminder.duanottingham.ac.uk

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Non-tuberculous mycobacteria (NTM) or atypical mycobacterial keratitis is an uncommon condition causing indolent corneal ulceration. The infection mimics herpetic, mycotic, and Nocardia keratitis and diagnosis requires a high index of suspicion. We report two cases of NTM infection where the presenting sign was that of crystalline keratopathy. Both cases were diagnosed by microbial culture and successfully treated.

Case 1

A 44 year old white female contact lens wearer presented with a 3 week history of an inflamed eye with a 1.5 mm diameter area of corneal stromal infiltration. Vision was 6/6 in each eye. She was being treated with antivirals and later unsuccessfully with antibacterials and steroids. …

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