{"id":19,"url":"https://cclm.media-doc.io/conditions/19/","name":"Fungal Keratitis","category":"Cornea","detail":"<p><em>Fusarium</em>&nbsp;keratitis,&nbsp;<em>Aspergillus</em>&nbsp;keratitis ,&nbsp;<em>Candida</em>&nbsp;keratitis</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Acute severe pain</li>\n\t<li>Extreme redness</li>\n\t<li>Epiphora and photophobia</li>\n\t<li>No improvement with lens removal</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Typically unilateral</li>\n\t<li>Localized corneal infiltration, often with feathery margins and elevated edges. Satellite lesions may also be present</li>\n\t<li>Penetration of infiltrate into the stroma with surrounding edema.</li>\n\t<li>Hypopyon</li>\n\t<li>Anterior chamber reaction</li>\n\t<li>Severe hyperemia and possibly lid edema</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>May follow trauma (generally with plant material) to the cornea</li>\n\t<li>Inappropriate use of care systems (e.g. topping off, poor case hygiene) may result in product contamination by&nbsp;<em>Fusarium spp</em>.</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Very rare</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/2\">Acanthamoeba&nbsp;infection</a></li>\n\t<li><a href=\"/condition/24\">Microbial (bacterial) keratitis</a></li>\n\t<li><a href=\"/condition/20\">Corneal Infiltrates</a>,&nbsp;<a href=\"/condition/6\">CLPU</a>&nbsp;and other&nbsp;<a href=\"/condition/65\">staining patterns</a></li>\n\t<li>See: <a href=\"/condition/66\">Infiltrates and Opacities &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Cease lens wear immediately</li>\n\t<li>Consider culturing before initiating antimicrobial therapy, particularly for large central ulcers</li>\n\t<li>Instigate topical antifungal treatment</li>\n\t<li>Deeper infections may require systemic antifungal medication</li>\n\t<li>Treatment may be required for several months</li>\n</ul>","images":[{"name":"Fungal Keratitis","file":"https://cclm-static.s3.amazonaws.com/images/fungal-keratitis_zoom.jpg"}],"type":1,"videos":[],"wear":true,"ceaseWear":true,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":false,"dw":false,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":false,"SiHy":true,"toric":false,"tags":[]}