Acosta Alejandro, Ramirez Marquez Estefania, Aguayo Angel, Perez Alejandro, Rivera Lília, Oliver Armando L
Ophthalmology, University of Puerto Rico, Medical Sciences Campus, San Juan, USA.
Ophthalmology and Cornea, University of Puerto Rico, Medical Sciences Campus, San Juan, USA.
Cureus. 2023 Oct 11;15(10):e46850. doi: 10.7759/cureus.46850. eCollection 2023 Oct.
We report on a case study involving a 58-year-old male with a pigmented corneal ulcer. The patient presented with a two-month history of an unresolved corneal ulcer in the oculus sinister (OS), accompanied by increasing ocular discomfort. His best corrected visual acuity (BCVA) was 20/20 oculus dexter and hand motion OS. Examination of OS revealed mild conjunctival injection, diffuse corneal edema, and the presence of a central pigmented lesion. Microbiological analysis via culture identified the causative agent as Ochroconis fungi, belonging to the dematiaceous species. Subsequently, the patient's condition was managed through a comprehensive regimen that included multiple topical antifungal agents, a topical antibiotic, and povidone-iodine drops. After two months of treatment, the patient exhibited improvement in his condition. His BCVA improved to counting fingers at a distance of two feet OS.
我们报告了一例涉及一名58岁患有色素性角膜溃疡男性的病例研究。该患者左眼（OS）角膜溃疡未愈达两个月，伴有眼部不适加重。其右眼最佳矫正视力（BCVA）为20/20，左眼为手动视力。左眼检查显示轻度结膜充血、弥漫性角膜水肿以及中央色素性病变。通过培养进行的微生物分析确定病原体为暗色丝孢霉属真菌，属于暗色真菌类。随后，通过包括多种局部抗真菌药物、一种局部抗生素和聚维酮碘滴眼液的综合治疗方案对患者病情进行管理。经过两个月的治疗，患者病情有所改善。其左眼BCVA提高到在两英尺远处能数指。
