RESUMO
Bilateral keratitis usually occurs in predisposed individuals such as contact lens wearers, those suffering from malnutrition and immunodeficiency or patients undergoing bilateral refractive corneal surgery. We report a 30-year-old man without any obvious predisposing factors who presented with complaints of pain and decreased vision in both eyes. Examination revealed corneal ulcers in both eyes, which on microbiological culture grew Pseudomonas aeruginosa. The patient underwent a therapeutic keratoplasty in the right eye while the left eye was managed medically. Bilateral Pseudomonas keratitis can develop in the absence of any obvious predisposing factors.
Assuntos
Adulto , Transplante de Córnea , Infecções Oculares Fúngicas/etiologia , Humanos , Ceratite/microbiologia , Masculino , Infecções por Pseudomonas/etiologiaAssuntos
Administração Tópica , Adulto , Antibacterianos/uso terapêutico , Atropina/uso terapêutico , Feminino , Gentamicinas/uso terapêutico , Heparina/uso terapêutico , Humanos , Ceratite/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Polimixina B/uso terapêutico , Infecções por Pseudomonas/tratamento farmacológicoRESUMO
110 cases of keratomycosis were treated with itraconazole administered either orally or topically or by both routes. Excellent or moderate response was obtained in 69 percent of the patients. Ulcers due to Aspergillus and dematiaceous fungi and non-sevee ulcers responded better than did severe ulcers and ulcers due to Fusarium. A combination of oral and topical itraconazole yielded the highest percentage of excellent or moderate responses.