title: Fungal keratitis after nonpenetrating glaucoma surgery.
abstract: OBJECTIVE
  The purpose was to report a case of fungal keratitis that occurred following viscocanalostomy.
  
  
  METHODS
  A 63-year-old man who underwent viscocanalostomy in his left eye presented with pain, redness, watering, and a decrease in visual acuity. Slit lamp examination showed teardrop-like stromal infiltration of the superior cornea. Corneal and conjunctival scrapings were obtained and a corneal biopsy was performed.
  
  
  RESULTS
  Microscopic examination of smears demonstrated no bacteria and fungi. Corneal biopsy revealed dichotomously branching, septate hyphae suggestive of Aspergillus species. Culture identified no microorganism. The patient responded to amphotericin B treatment and the corneal infiltration resolved, leaving a plaquelike corneal scar.
  
  
  CONCLUSIONS
  Fungal keratitis may occur after viscocanalostomy, but prompt diagnosis and treatment can preserve the eye.
authors.affiliation: Department of Ophthalmology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Nevbahar
authors.initials: N
authors.lastname: Tamcelik
authors.forename: Akif
authors.initials: A
authors.lastname: Ozdamar
authors.forename: Melda
authors.initials: M
authors.lastname: Kizilkaya
authors.forename: Kazim
authors.initials: K
authors.lastname: Devranoglu
authors.forename: Can
authors.initials: C
authors.lastname: Ustundag
authors.forename: Cuyan
authors.initials: C
authors.lastname: Demirkesen
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D001230:Aspergillus / Q000302:isolation & purification; D003315:Cornea / Q000382:microbiology; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D018463:Filtering Surgery / Q000009:adverse effects*; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D008875:Middle Aged
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B