Current spectrum of oculomycosis in North India: A 5‑year retrospective evaluation of clinical and microbiological profile.
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Date
2016-01
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Abstract
Oculomycosis is a major cause of visual impairment. Eye pain, redness, discharge, diminution and photophobia are
presenting features. We collected corneal scraping, vitreous, aqueous fluids and conjunctival swabs after the slit‑lamp
examination. Ophthalmological findings were hypopyon, stromal congestion, conjunctival congestion and epithelial
defect. Direct microscopy of 10% potassium hydroxide (KOH) wet mounts, gram staining, fungal and bacterial cultures
were performed. Fungal isolates were obtained in 24% patients with equal number of both sexes and average age
49 years. KOH revealed fungi in 73% samples and 43.33% were positive on Gram staining. Fusarium spp. (36.66%),
Aspergillus spp. (23.33%) and melanised fungi (20%) were common etiological agents. Fusarium spp. was more often
associated with complications. Trauma was a predisposing factor in 65% cases and occurred mainly with vegetable
matter. The majority responded to the conservative management with 5% natamycin and four patients required surgery.
Description
Keywords
Aspergillus, Fusarium, keratitis, oculomycosis, trauma
Citation
Verma S, Sharma V, Kanga A, Sharma R, Angrup A, Mokta K, Garg A. Current spectrum of oculomycosis in North India: A 5‑year retrospective evaluation of clinical and microbiological profile. Indian Journal of Medical Microbiology. 2016 Jan-Mar; 34(1): 72-75.