Clinical case of a patient with fungal keratitis after surgical treatment of cataract

Clinical case of a patient with fungal keratitis after surgical treatment of cataract O.I. Rozanova, M.Yu. Tyazhev, A.P. Shchetinina S. Fyodorov Eye Microsurger y Federal State Institution, Irkutsk branch, Irkutsk, Russian Federation Center of Modern Ophthalmology, Irkutsk, Russian Federation Purpose. Demonstration of the fungal keratitis clinical case in the postoperative period after cataract phacoemulsification. Methods. Fungal keratitis developed in a patient aged 81, which suffers from type 2 diabetes 1 month after the cataract surgery. Antifungal treatment was carried out. Results. A complete inflammation relief was achieved after two months from the date of the fungal keratitis diagnosis, with the formation of surface clouding of the cornea. The risk factors for the development of ophthalmomycosis in the presented clinical case were: age, diabetes mellitus, prolonged instillation of corticosteroids, early period after surgery. Conclusion. Fungal keratitis is a serious medical problem due to the stability of the disease to the therapy and a high risk of persistent vision reduction. Patients of the older age group, with the presence of concomitant factors of influence on systemic immunity especially after surgical treatment are in the group with high risk of developing ophthalmomycosis, this situation suggests the need for a more balanced approach in prescribing anti-inflammatory therapy during cataract surgery.