A Rare Case of Rhizopus Oryzae Keratitis following Orbital Cellulitis in a Diabetic Patient

Rajagopal, Rama; Toshniwal, Nikhil Navneet; Koka, Kirthi; Krishnan, Janani; Veluswamy, Sumathi

doi:10.1080/09273948.2021.1974054

Cited by 1 publication

(2 citation statements)

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“…The severity of ocular infections is comparatively less than with systemic manifestations. [5][6][7][8][9][10][11][12][13] The first case report of Contact lens-associated Rhizopus sp was reported in 2016 by Warner et al The risk factor identified was poor hygiene associated with CL usage. 8 Our patient underwent Standard CXL, and BCL was applied as a routine protocol to help in epithelial healing but developed a corneal ulcer on the third postoperative day.…”

Section: Discussionmentioning

confidence: 99%

“…The frequent predisposing factors were trauma and CL misuse in immunocompromised individuals (Diabetes and thalassemia). [10][11][12] In a sixteen-year study period (2001 to 2016) on Mycotic keratitis from a tertiary eye care hospital in Northern India, among 18,898 patients diagnosed with FK, only 1% had been affected by Rhizopus sp. 14 Though, CXL is an effective treatment for progressive keratoconus to prevent visual morbidity; there is always a risk for infection.…”

Section: Discussionmentioning

confidence: 99%

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Immediate postoperative keratitis caused by Rhizopus species following standard CXL for keratoconus: A case report and literature review

Venugopal,

Ravindran

2024

European Journal of Ophthalmology

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Purpose To report the first case of Rhizopus sp keratitis in a 15-year-old male patient who had undergone a conventional Epi-off CXL procedure for progressive keratoconus. Methods A 15-year-old male studying at school presented with defective vision in both eyes recently. He was diagnosed with progressive keratoconus in the right eye more than left eye. After the conventional CXL procedure, the patient developed corneal ulcer on third postoperative day. Results The microbiological diagnosis of both BCL and ulcer revealed Rhizopus sp. The patient responded to topical antifungals, and the ulcer entirely healed with a large central scar. Conclusion Rhizopus keratitis is rare in a healthy individual. Ours is the first case report of Rhizopus keratitis in patient undergone CXL.

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