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Year : 2005  |  Volume : 53  |  Issue : 2  |  Page : 123-125

Chronic microsporidial stromal keratitis in an immunocompetent, non-contact lens wearer

Sankara Nethralaya, Chennai, India

Correspondence Address:
Rajesh Fogla
Cornea Services, Sankara Nethralaya, 18 College Road, Chennai - 600 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.16177

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An 82-year-old healthy man with unilateral chronic stromal keratitis, initially diagnosed to have viral keratitis and refractory to medical therapy, showed numerous oval, microsporidial organisms, measuring 4-5 m in length in the corneal biopsy. Penetrating keratoplasty, followed by treatment with systemic albendazole and topical propamidine isethionate resulted in resolution of the infection. Electron microscopy of the keratoplasty specimen demonstrated sporoblasts with diplokaryotic nuclei and multiple coils of the filament. The light and electron microscopic features were consistent with microsporidial keratitis.

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