A Case Report of Fungal Keratitis Diagnosed by Femtosecond Laser Assisted Corneal Biopsy
Journal of the Korean Ophthalmological Society
;
: 164-168, 2008.
Article
in Korean
| WPRIM
| ID: wpr-194999
ABSTRACT
PURPOSE:
To describe femtosecond laser-assisted corneal biopsy and its use in assessing the causative organism in a case of fungal keratitis that occurred 8 months after penetrating keratoplasty. CASESUMMARY:
A 27-year-old man who had undergone penetrating keratoplasty 8 months prior showed atypical diffuse corneal haze and erosion. Diagnostic corneal biopsy using a femtosecond laser was performed because of repeated negative test results for an infectious organism and a lack of improvement, despite steroid and empirical antibiotic therapy. A corneal flap 200 micrometer in depth and 3 mm in diameter was obtained. The biopsy showed pseudohyphae, which led to a diagnosis of Candidal keratitis. No complications occurred during the procedure.CONCLUSIONS:
Femtosecond laser-assisted corneal biopsy enabled identification of the infectious pathogen. This technique is easy, safe, and rapid, and it yields a biopsy specimen with a uniform depth and precise size. Femtosecond laser-assisted corneal biopsy can be used as an accurate diagnostic method in uncertain cases of corneal ulcers.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biopsy
/
Keratoplasty, Penetrating
/
Keratitis
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2008
Type:
Article
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