Keratomycosis after cataract surgery.

PURPOSE

To evaluate cases and results of keratomycosis that developed after cataract surgery.

SETTING

Hospital de Guipúzcoa, San Sebastián, Spain.

METHODS

This retrospective study comprised 8 patients who developed keratomycosis soon after cataract surgery.

RESULTS

Culture analysis revealed 7 cases of Aspergillus fumigatus and 1 of Aspergillus flavus. After medical treatment with antifungal agents, 6 cases resolved and 2 required evisceration.

CONCLUSIONS

The presence of fungi in corneal ulcers that develop after cataract surgery should be considered. Initiation of early treatment determines the prognosis. Among the therapeutic options, collagen shields soaked in amphotericin B may be effective.