Advertisement

International Ophthalmology

, Volume 29, Issue 1, pp 49–51 | Cite as

Fungal keratitis following amniotic membrane transplantation

  • Sujata Das
  • Balasubramanya Ramamurthy
  • Virender S. Sangwan
Case Report

Abstract

Purpose To report a case of fungal keratitis following amniotic membrane (AM) transplantation for pseudophakic bullous keratopathy. Method A 55-year-old female underwent amniotic membrane transplantation (AMT) with epithelial debridement and anterior stromal puncture in the left eye for symptomatic bullous keratopathy. She developed fungal keratitis after 4 weeks. Result Aspergillus sp. was isolated from the corneal scraping. The patient was treated with systemic and topical antifungal medication. Conclusion Although AMT is safe, there is a risk of microbial infection after the procedure especially in poor ocular surfaces.

Keywords

Amniotic membrane Fungal keratitis Amniotic membrane transplantation 

References

  1. 1.
    Pires RT, Tseng SC, Prabhasawat P, Puangsricharern V, Maskin SL, Kim JC, Tan DT (1999) Amniotic membrane transplantation for symptomatic bullous keratopathy. Arch Ophthalmol 117:1291–1297PubMedGoogle Scholar
  2. 2.
    Espana EM, Grueterich M, Sandoval H, Soloman A, Alfonso E, Karp CL, Fantes F, Tseng SC (2003) Amniotic membrane transplantation for bullous keratopathy in eyes with poor visual potential. J Cataract Refract Surg 29:279–284CrossRefPubMedGoogle Scholar
  3. 3.
    Marangon FB, Alfonso EC, Miller D, Remonda NM, Muallem MS, Tseng SC (2004) Incidence of microbial infection after amniotic membrane transplantation. Cornea 23:264–269CrossRefPubMedGoogle Scholar
  4. 4.
    Khokhar S, Sharma N, Kumar H, Soni A (2001) Infection after use of nonpreserved human amniotic membrane for the reconstruction of the ocular surface. Cornea 20:773–774CrossRefPubMedGoogle Scholar
  5. 5.
    Kloess PM, Stulting RD, Waring GO III, Wilson LA (1993) Bacterial and fungal endophthalmitis after penetrating keratoplasty. Am J Ophthalmol 115:309–316PubMedGoogle Scholar
  6. 6.
    Al-Assiri A, Al-Jastaneiah S, Al-Khalaf A, Al-Fraikh H, Wagoner MD (2006) Late-onset donor-to-host transmission of Candida glabrata following corneal transplantation. Cornea 25:123–125CrossRefPubMedGoogle Scholar
  7. 7.
    Al-Kharashi S, Al-Khawaja A, Gonnah El-S, Al-Assiri A, Al-Motowa S, Al-Towerki AE, Wagoner MD (2005) Microbial keratitis after amniotic membrane transplantation. Int Ophthalmol 26:73–76CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Sujata Das
    • 1
    • 2
  • Balasubramanya Ramamurthy
    • 1
  • Virender S. Sangwan
    • 1
  1. 1.L V Prasad Eye InstituteHyderabadIndia
  2. 2.Cornea & Anterior Segment ServiceBhubaneswar L V Prasad Eye InstitutePatia, BhubaneswarIndia

Personalised recommendations