TY - JOUR A1 - Sedaghat, Mohammad A1 - Hosseinpoor, Setareh T1 - Candida albicans interface infection after deep anterior lamellar keratoplasty Y1 - 2012/7/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 328 EP - 330 VL - 60 IS - 4 UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2012;volume=60;issue=4;spage=328;epage=330;aulast=Sedaghat DO - 10.4103/0301-4738.98723 N2 - The clinical features of interface Candida keratitis after deep anterior lamellar keratoplasty (DALK), may imitate rejection or crystalline keratopathy. We report here an 18-year-old woman presented with red eye, 4 months after undergoing DALK. Slit lamp examination revealed keratic precipitates (KPs) and cojunctival injection. She was prescribed corticosteroid treatment for endothelial rejection by another ophthalmologist because of misdiagnosis, but suffered a recurrence of symptoms after reduction of the corticosteroid treatment. At that time, she was referred to our office. The recurrence persisted despite antibiotic and antifungal therapies. Ten days after treatment with interface irrigation with amphotericin, the infiltration and hypopyon were resolved. Topical steroid was added after 3 months of antifungal monotherapy. Irrigant cultures confirmed the presence of Candida albicans. The corneal graft appeared semi-clear with no signs of infection at 17-month follow-up. We recommend a close follow-up and a timely intervention to prevent the need for more invasive treatment such as penetrating keratoplasty. ER -