Clinical Study
Excimer Laser Phototherapeutic Keratectomy for the Treatment of Clinically Presumed Fungal Keratitis
Table 3
Demographic, clinical, and surgical data on six failure cases with phototherapeutic keratectomy.
| Case | Gender/age (y) | Predisposing factors | Pathogen | Original findings at our hospital | Duration to PTK (d) | Ablation data | Evolution |
| 1 | F/44 LE | Botanical trauma | His: Aspergillus Culture: S. epidermidis | Ulcer: mm Hypopyon: 3 mm VA: HM | 52 | Size: 6.0 mm Depth: 75 μm | Infection progression, AMT at 13 days |
| 2 | M/60 RE | Sand entering the eye | His: fungi | Ulcer: mm Hypopyon: (−) VA: CF/20 cm | 26 | Size: 5.0 mm Depth: 50 m | Infection progression, AMT at 12 days |
| 3 | M/43 LE | Botanical trauma | His: Candida | Ulcer: mm Hypopyon: 2 mm VA: HM | 73 | Size: 4.0 mm Depth: 75 m | Infection progression, AMT at 18 days |
| 4 | M/44 RE | Botanical trauma | Smear: Aspergillus His: Aspergillus | Ulcer: mm Hypopyon: (−) VA: HM | 45 | Size: 6.0 mm Depth: 200 m | Infection progression, CFC at 2 days |
| 5 | M/53 LE | Botanical trauma | Culture: S. aureus | Ulcer: mm Hypopyon: (−) VA: CF/10 cm | 70 | Size: 6.0 mm Depth: 200 m | Infection progression, CFC at 13 days |
| 6 | F/47 RE | Botanical trauma | His: Candida | Ulcer: mm Hypopyon: 2 mm VA: CF/20 cm | 28 | Size: 5.0 mm Depth: 200 m | Infection progression and perforation, PK at 9 days |
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F: female, M: male, LE: left eye, RE: right eye, y: year, d: day, VA: visual acuity, HM: hand motion, CF: count finger, CFC: flap covering, AMT: amniotic membrane transplantation, PK: penetrating keratoplasty, His: histopathology examination, S. epidermidis: Staphylococcus epidermidis, and S. aureus: Staphylococcus aureus.
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