ABSTRACT
In this short communication, we report on a case of eye eumycetoma caused by M. Mycetomatis seen at Makkah eye complex and Mycetoma Research Centre, Khartoum, Sudan. The patient was a 13 year-old female student, from Central Sudan a Mycetoma endemic area. The patient had recurrent progressive left eye eumycetoma caused by M. Mycetomatis. The site was the left upper eye lid. The patient presented late with disease duration of two years. Lack of health education and financial constrain due to their low socio-economic status are the explanation of her late clinical presentation. She was treated with ketoconazole and wide local excision. The medical literature was reviewed and only eight documented patients with eye eumycetoma were reported; one due to M. mycetomatis, two caused by Dematiaceous Fungi and five caused by Allescheria boydii. Only three patients with eye Nocardia brasiliensis actinomycetoma were reported. Although eye Mycetoma is a rarity, in the tropical and subtropical subcontinent, Mvcetoma should be considered in the differential diagnosis of swellings with discharging in the eye region