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.

CaseGender/age (y)Predisposing factorsPathogenOriginal findings
at our hospital
Duration to PTK (d)Ablation dataEvolution

1F/44
LE
Botanical traumaHis: Aspergillus
Culture: S. epidermidis
Ulcer:  mm
Hypopyon: 3 mm
VA: HM
52Size: 6.0 mm
Depth: 75 μm
Infection progression,
AMT at 13 days

2M/60
RE
Sand entering the eyeHis: fungiUlcer:  mm
Hypopyon: (−)
VA: CF/20 cm
26Size: 5.0 mm
Depth: 50  m
Infection progression,
AMT at 12 days

3M/43
LE
Botanical traumaHis: Candida Ulcer:  mm
Hypopyon: 2 mm
VA: HM
73Size: 4.0 mm
Depth: 75  m
Infection progression,
AMT at 18 days

4M/44
RE
Botanical traumaSmear: Aspergillus
His: Aspergillus
Ulcer:  mm
Hypopyon: (−)
VA: HM
45Size: 6.0 mm
Depth: 200  m
Infection progression,
CFC at 2 days

5M/53
LE
Botanical traumaCulture: S. aureus Ulcer:  mm
Hypopyon: (−)
VA: CF/10 cm
70Size: 6.0 mm
Depth: 200  m
Infection progression,
CFC at 13 days

6F/47
RE
Botanical traumaHis: Candida Ulcer:  mm
Hypopyon: 2 mm
VA: CF/20 cm
28Size: 5.0 mm
Depth: 200  m
Infection progression and perforation, PK at 9 days

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.