Post-corneal transplant Candida keratitis – Incidence and outcome

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dc.contributor.authorSati, Aloken_US
dc.contributor.authorWagh, Sangeetaen_US
dc.contributor.authorMishra, Sanjay Ken_US
dc.contributor.authorKumar, Sonali Ven_US
dc.contributor.authorKumar, Pradeepen_US
dc.date.accessioned2023-08-25T06:32:03Z
dc.date.available2023-08-25T06:32:03Z
dc.date.issued2022-02
dc.description.abstractPurpose: To report the risk factors, clinical characteristics, and outcomes of Candida keratitis following corneal transplantation in India. Methods: On retrospective review of medical records of 789 patients, 31 eyes developed a graft infection following corneal transplantation or keratoprosthesis and we could identify the Candida infection in only five. These cases were operated at two tertiary care centers in India. These five records were reviewed for demographics, risk factors (local and systemic) for graft infection, characteristics of infective lesion, corneal scraping results, treatment plan, and the final outcome following management. Results: The median age of the subjects with the Candida graft infection was 62.4 ± 10.33 years (range, 62–71 years). All patients were males. The predominant risk factors included repeat corneal transplantation (5/5), prolonged usage of topical steroids (5/5), and epithelial defects (4/5). The clinical characteristics included infiltrates of variable configuration like powdery deposits, white plaque, fluffy white infiltrate, and crystalline keratopathy. The smear showed budding yeasts in all five cases whereas culture was positive in four out of five cases. The final outcome with antifungals (systemic [4/5] and topical [5/5]) is variable. Two eyes underwent evisceration, two eyes had scar formation in the failed grafts, and one patient succumbed to the systemic disease 1?month post?corneal infection. Conclusion: Candida keratitis, in India, seems to be an emerging pathology following corneal transplantation and has a varied presentation. Though the outcomes following management seem to be grim, however, such infection can easily be avoided by a timely reduction of the risk factors.en_US
dc.identifier.affiliationsCornea and Anterior Segment Services, Department of Ophthalmology, Army Hospital (Research and Referral), New Delhi, Indiaen_US
dc.identifier.affiliationsCornea and Anterior Segment Services, Dr. Sangeeta Wagh Eye Clinic, Pune, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, Army Hospital (Research and Referral), New Delhi, Indiaen_US
dc.identifier.citationSati Alok, Wagh Sangeeta, Mishra Sanjay K, Kumar Sonali V, Kumar Pradeep. Post-corneal transplant Candida keratitis – Incidence and outcome. Indian Journal of Ophthalmology. 2022 Feb; 70(2): 536-541en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224136
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber2en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_560_21en_US
dc.subjectCandida graft infectionen_US
dc.subjectcorneal transplantationen_US
dc.subjectIndiaen_US
dc.titlePost-corneal transplant Candida keratitis – Incidence and outcomeen_US
dc.typeJournal Articleen_US
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