Fungal Keratitis Caused by Paecilomyces lilacinus Associated With a Retained Intracorneal Hair

Abstract

This is the first case of P. lilacinus keratitis associated with a retained intracorneal hair. Hair in the cornea could be a predisposing factor for this infection. Early corneal biopsy should be considered to properly diagnose and manage atypical keratitis and to prevent further complications.

A reminder that temporal arteritis is not necessarily giant cell arteritis

“…Many types of foreign bodies can enter the cornea. 1 We report an unusual case of a corneal foreign body that migrated through the corneal epithelium and stroma. The foreign body was a fragment of the patient's own hair that had migrated from the limbus to the paracentral cornea 6 weeks after a haircut.…”

“…1 Although various theories have been proposed, the exact mechanism by which hair migrates or advances into the deeper layers of the cornea is not known. 2 The mechanism may vary depending upon the nature of the hair and the individual's immune response.…”

“…1 We describe a case of premacular subhyaloid haemorrhage in Eales' disease managed with Nd:YAG laser posterior hyaloidotomy. We are unaware of such finding in world literature.…”

“…Published good rheumatologic practice for the management of vasculitis advocates biopsy of affected tissue to classify the vasculitis and choose a treatment regimen. 1 The often quoted American College of Rheumatology diagnostic criteria for temporal arteritis have a false-positive rate of 7.8%. 2 We suggest that patients with the clinical diagnosis of temporal arteritis should undergo temporal artery biopsy to confirm the histological diagnosis of giant cell arteritis.…”

Topical Voriconazole Drops With and Without Intrastromal Voriconazole Injection for Treatment of Deep or Resistant Fungal Keratitis

“…Fungal keratitis is an important cause of corneal blindness and usually carries an unfavorable prognosis due to its prolonged course and requirement of a specific therapy [1]. Therapeutic failure rates in fungal keratitis are very high, and the poor outcome is related to several factors including: late diagnosis, reduced ocular drug penetration and low antifungal susceptibility of certain etiologic agents [2].…”