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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2277-2279

Bilateral non-resolving punctate keratitis in a keratoplasty patient


1 Department of Cornea, Gokhale Eye Hospital, Mumbai, Maharashtra, India
2 Department of Microbiology, P.D. Hinduja Hospital, Mahim, Maharashtra, India

Correspondence Address:
Dr. Nikhil S Gokhale
Gokhale Eye Hospital, Anant Building, Gokhale Road South, Dadar West, Mumbai - 400 028, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_312_20

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This study aimed to report a case of non-resolving bilateral coarse punctate keratitis in a patient with prior bilateral penetrating keratoplasty. In view of non-response to antivirals, corneal epithelial scraping was carried out, which revealed the presence of microsporidial cysts. The infection resolved after a period of 12 days following the diagnosis, during which steroids were discontinued. Microsporidial keratitis needs to be considered in non-resolving coarse punctate keratitis and microbiologic evaluation is essential to establish the diagnosis.


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