Mycotic Keratitis: A review of ten cases from Hospital Universiti Sains Malaysia

Abstract

Ten cases of fungal corneal ulcers treated in Hospital Universiti Sains Malaysia are reviewed. Male agricultural workers were a high risk group afflicted with this condition. A history of foreign body in the affected eye was a common predisposing factor. Mycelial fungi were regarded as causative agents in all cases, with Fusarium being the predominant genus. The prognosis of visual outcome depended on the location and size of the corneal ulcer, and complications during treatment. Two patients developed corneal perforation and conjunctival grafting was done to save the architecture of the globe. The role of surgical treatment in cases of failure of medical treatment is discussed.