Posters

The fungal keratites: therapeutic diagnostic problems and evolutionary profiles about 21 cases at the Ophthalmology Department A UHC Ibn SINA Rabat

Poster Details

First Author: F.Boudguigue MOROCCO

Co Author(s): B. Mrini   L. El Kaissoumi   A. Ridallah   A. Amazouzi   L. Cherkaoui        

Abstract Details

Purpose:

Fungal keratitis or keratomycosis are corneal infections caused by filamentous fungi or yeasts. It is a rare but serious cause of corneal infection. Its frequency is increasing, in connection with the intensive use of corticosteroids, and contact lenses and their management is a real challenge.

Setting:

Hospital of speciality in rabat ; ophtalmology A

Methods:

This is a retrospective study of 21 patients, collected at the ophthalmology department  CHU Rabat between January 2017 and December 2018.

Results:

The average age of patients was 48 years old. The people affected were mostly men. The risk factors found are: diabetes, eye trauma ,corticotherapy, and a surface pathology in 23.8℅ patients. The clinical examination found a very diminished visual acuity between light perception and 2 / 10. On the bio-microscopic level, presence in all our patients, suppurated stromal infiltrate or abscess with curved surface and / or irregular fuzzy margins, and infectious micro abscess satellite foci, in 71.4% of cases. The microbiological examination, after corneal scraping, was positive in 54% of cases, and46% negative. The culture is positive in two cases.

Conclusions:

In our context other factors are added making the evolution slower and increasing the risk of occurrence of complications. We mainly cite selfmedication, excessive use of corticosteroid, delayed consultation and the unavailability of Amphotericin B in our country

Financial Disclosure:

None