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Year : 2020  |  Volume : 68  |  Issue : 11  |  Page : 2552-2554

Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy

L V Prasad Eye Institute, Bhubaneswar, Odisha, India

Correspondence Address:
Sujata Das
L V Prasad Eye Institute, Bhubaneswar - 751 024, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2348_20

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Microsporidial stromal keratitis is refractory to topical drugs and is classically described in immunocompetent hosts. A 55-year-old patient with renal transplant and oral immunosuppressants, presented with a 15-day history of redness, pain, and diminution of vision in the right eye. Slit-lamp examination revealed epithelial defect and mid-stromal infiltrate. On corneal scraping, microsporidial spores were observed. The patient was started on topical 0.02% polyhexamethylene biguanide (PHMB) and the infiltrate resolved after 6 weeks of initiation of topical therapy.

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