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Review Article
8 (
1
); 48-52

A Case Report of Successfully Treated Microsporidial Keratitis at a Tertiary Care Centre in Western India

Associate Professor & Head of Cornea Unit, M & J Institute of Ophthalmology, B. J. Medical College & Civil Hospital, Ahmedabad.
3rd Year Resident, M & J Institute of Ophthalmology, B. J. Medical College & Civil Hospital, Ahmedabad.
2nd Year Resident, M & J Institute of Ophthalmology, B. J. Medical College & Civil Hospital, Ahmedabad.

*Corresponding Author: Dr. Jagruti N. Jadeja Email: jagruti_jadeja12@yahoo.com

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

Abstract

A 43 year old male patient, who was initially diagnosed with chronic viral stromal keratitis but was refractory to conventional treatment, underwent a corneal biopsy on the basis of strong clinical suspicion. The biopsy revealed the presence of multiple microsporidial spores. Treatment with Polyhexamethylene Biguanide (PHMB) and Chlorhexidine showed poor response. A therapeutic penetrating keratoplasty under the cover of Fluoroquinolones led to successful resolution of the infection. To our knowledge, this is the first case of microsporidial keratitis being reported from our region.

Keywords

Fluoroquinolones
Microsporidiosis
Penetrating keratoplasty
Stromal keratitis

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