Posters

Clinical diagnosis and treatment recommendations for Sarocladium Kiliense keratitis: what’s the best to do

Poster Details

First Author: C.Bonzano ITALY

Co Author(s): C. Cutolo   R. Scotto   G. Piatti   C. Traverso           

Abstract Details

Purpose:

To report the clinical presentation, the management strategies, and the therapeutic outcomes of unusual fungal keratitis due to Sarocladium Kiliense.

Setting:

Eye Clinic, DiNOGMI, University of Genoa and IRCCS San Martino Polyclinic Hospital, Genoa, Italy.

Methods:

This is a retrospective study of two women affected by Sarocladium Kiliense keratitis treated at Clinica Oculistica, University of Genoa, Italy. Slit-lamp examination, anterior segment optical coherence tomography (AS-OCT), anterior segment photography and, corneal in-vivo confocal microscopy (IVCM) were performed during the first examination and at each follow-up visit. The mean follow-up time was six month.

Results:

Patients affected by Sarocladium Kiliense were both contact lens wearers and none of them had a history of vegetative matter injury. They were referred to our cornea service because unresponsive to treatment previously prescribed. A 0.2% topical fluconazole was prescribed at first, without any improvement. Thus, treatment with 0.15% amphotericin B and 1% voriconazole was started. In about two weeks, the cornea healed with a minimal residual corneal scarring.

Conclusions:

We reported the first cases of Sarocladium Kiliense keratitis. Our experience shows that this sight-threatening keratomycosis can be cured without any long-term complications when early diagnosis and prompt treatment are managed.

Financial Disclosure:

None