Fungal

Etiology

• Mainly caused by Fusarium (less commonly by Aspergillus and Candida albicans)

• Ocular injuries caused by plant material contaminated with fungi (e.g., wood, thorn)

• Use of glucocorticoids and antibiotics increases the risk of fungal infection

Clinical features

• Similar to bacterial keratitis: ocular pain, photophobia, decreased vision, eye discharge

• Often hypopyon

• Ocular examination: white stromal infiltrate with a feathery border and satellite lesions

Treatment

• Antimycotics such as natamycin, nystatin, amphotericin B

• Ultima ratio: penetrating keratoplasty