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Emergency: requires immediate attention
Fungal corneal ulcer - External and Internal Eye
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Emergency: requires immediate attention

Fungal corneal ulcer - External and Internal Eye

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Contributors: Lauren Patty Daskivich MD, MSHS, Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD
Other Resources UpToDate PubMed

Synopsis

A fungal corneal ulcer, or fungal keratitis, is an infection of the corneal stroma that can cause rapid visual loss and pain. Infectious corneal ulcers need to be treated as soon as possible to preserve vision. If left untreated, a fungal infection can lead to perforation of the cornea, loss of vision, and even loss of the eye.

Risk factors that can predispose to fungal keratitis include contact lens wear, eye trauma with vegetative matter, previous ocular surgery, topical steroid use, and immunosuppression.

Patients with a fungal corneal ulcer will complain of eye pain, light sensitivity, red eyes, and possibly reduced vision. The rapidity of the onset and progression of symptoms is typically slower than what is seen in bacterial keratitis. Fungal keratitis is much less common than bacterial keratitis, and the diagnosis is often made once traditional antibacterial medications fail to successfully treat an infection.

Yeast-like fungal species, such as Candida, are more common in fungal keratitis in the northern United States, while filamentous organisms, such as Fusarium, are more common in the southern United States.

Codes

ICD10CM:
H16.009 – Unspecified corneal ulcer, unspecified eye

SNOMEDCT:
314558005 – Fungal keratitis

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed: 06/27/2019
Last Updated: 06/27/2019
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Emergency: requires immediate attention
Fungal corneal ulcer - External and Internal Eye
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Fungal corneal ulcer : Eye pain, Photophobia, Unilateral, Vision loss, Corneal ulcer, Conjunctival injection, Hypopyon
Clinical image of Fungal corneal ulcer
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