Aspergillus keratitis presenting with an immune ring: a case report and literature review - PubMed
3 hours ago
- #Fungal keratitis
- #Immune ring
- #Aspergillus keratitis
- A case report details a 68-year-old woman with Aspergillus keratitis initially misdiagnosed as herpes simplex keratitis.
- The patient presented with a yellow-white stromal infiltrate and an immune-like ring, alongside stromal thinning and risk of perforation.
- Discontinuation of topical corticosteroids and initiation of antifungal therapy with voriconazole and chlorhexidine stabilized the condition.
- Immune-like rings in fungal keratitis are immune-mediated but corticosteroids should not be used empirically without microbiological confirmation.
- Corneal sampling is essential before steroid use in immune-like ring lesions to rule out infectious causes like fungal keratitis.