Case Series of Perforated Keratomycosis after Laser-Assisted In Situ Keratomileusis

Figure 2

(a) Slit-lamp photo of case #5 at 1^st visit showing ciliary injection, central dense interface infiltrates with peripheral satellites within the edge of the flap (arrow) and hypopyon. (b) Slit-lamp photo 48 hours after flap amputation and 2^nd intrastromal amphotericin injection showing diffuse dense infiltrate with evolving descemetocele (arrow). (c) Slit-lamp photo, 3 weeks after sutures removal, showing: quiet eye, epithelialized cornea, stroma filled with amniotic membrane, and formed anterior chamber (AC). (d) Ultrabiomicrosopic (UBM) image of anterior segment showing: restored corneal thickness and formed AC. (e) UBM image of anterior segment showing inferior peripheral anterior synechia (PAS). (f, g) Intraoperative pictures captured during penetrating keratoplasty (PK) showing removal of the trephined cornea and release of the PAS at 6 o’clock position (f), corneal graft secured with interrupted 10/0 nylon sutures (g). (h) Slit-lamp photos 5 months after PK showing clear and healthy corneal graft.

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