Microsporidial Stromal Keratitis: Successful Treatment with Topical Voriconazole and Oral Itraconazole

Mircea Coca, James Kim, Sudhir Shenoy, Patricia Chévez-Barrios, Manuj Kapur

Research output: Contribution to journalArticle

Abstract

We report a case of microsporidial stromal keratitis successfully treated with topical voriconazole and oral itraconazole. A 30-year-old Hispanic male construction worker who wears contacts lenses presented with left eye erythematous, epiphora, and mild pain increasing over few days after failing previous antibiotics treatment. His best corrected visual acuity in the left eye was count fingers at three feet, and the slit lamp examination showed 3+ conjunctival injection, a circular central corneal ulcer 3.2 mm in diameter, stromal thinning, and an anterior chamber with white cells, flair, and 0.1 mm hypopyon. A cornea punch biopsy identified microsporidial organisms with some features suggestive of Vittaforma corneae. After treatment with topical voriconazole and oral itraconazole for eight weeks, the patient had complete resolution with no recurrence for over 12 months of follow-up. To our knowledge, this is the first reported case of successful treatment of microsporidial stromal keratitis with antifungals.

Original languageEnglish (US)
Pages (from-to)e934
JournalCureus
Volume8
Issue number12
DOIs
StatePublished - Dec 20 2016

Fingerprint Dive into the research topics of 'Microsporidial Stromal Keratitis: Successful Treatment with Topical Voriconazole and Oral Itraconazole'. Together they form a unique fingerprint.

Cite this