Epicorneal aspergilloma after penetrating keratoplasty.
OBJECTIVE
To report an epicorneal aspergilloma in a postkeratoplasty patient with a bandage soft contact lens.


METHODS
Case report of a 77-year-old postkeratoplasty patient who presented with an epicorneal mass under a bandage soft contact lens placed for a nonhealing epithelial defect. On removal of the contact lens, a 4 x 4-mm placoid mass fell free from the corneal surface and was sent for culture and histopathology.


RESULTS
Gram stain demonstrated septated branching hyphae, and cultures confirmed the diagnosis of Histopathologic sections of the epicorneal mass revealed a full-thickness aspergilloma.


CONCLUSIONS
Contact lens removal and aggressive antimycotic treatment resulted in epithelial healing and resolution of the keratomycosis. The patient remained stable for 6 months followed by a successful repeat penetrating keratoplasty.
Weichel
E D
ED
Department of Ophthalmology, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650, USA. eweichel@hotmail.com
Bower
K S
KS
Ward
T P
TP
Hidayat
A
A
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D001230:Aspergillus / Q000302:isolation & purification*; D003263:Contact Lenses, Hydrophilic; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D016896:Treatment Outcome
D000935:Antifungal Agents