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KMID : 0360220120530020338
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Journal of the Korean Ophthalmological Society
2012 Volume.53 No. 2 p.338 ~ p.341
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A Case of Fusarium Keratitis Treated with Moxifloxacin 0.5% Ophthalmic Solution
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Lee Dong-Cheol
Lee Jung-Won
Chang Sung-Dong
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Abstract
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Purpose: To report a case of fusarium keratitis treated with only moxifloxacin 0.5% ophthalmic solution (Vigamox?, Alcon Laboratories, Inc., Ft Worth, TX, USA).
Case summary: A 37- year- old healthy male patient experienced a right eye injury due to grain 7 days prior to presentation at our hospital with visual disturbance and ocular pain. A 2.7 × 4.3 mm sized corneal epithelial defect with irregular featherlike midstromal infiltration was observed, and slit lamp examination revealed a dry, rough texture. Thus a smear and culture were performed. Moxifloxacin 0.5% ophthalmic solution (Vigamox?) and lubricant were applied for treatment. Three days after using the eye solution, all clinical features improved. Seven days later, Fusarium species was identified in culture.
Conclusions: As standard treatment for Fusarium, the authors of the present study used an antifungal agent. Although hyphae were detected in culture, the use of only moxifloxacin 0.5% ophthalmic solution (Vigamox?) result in a satisfactory result and improvement in clinical features.
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KEYWORD
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Fusarium keratitis, Moxifloxacin
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