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  • Title: Scedosporium prolificans corneoscleritis: a successful outcome.
    Author: Kumar B, Crawford GJ, Morlet GC.
    Journal: Aust N Z J Ophthalmol; 1997 May; 25(2):169-71. PubMed ID: 9267606.
    Abstract:
    BACKGROUND: A case of Scedosporium prolificans corneoscleritis is reported in a patient who had developed scleral necrosis following pterygium surgery, with adjunctive beta-irradiation. This fungus has been reported to be the causative organism in only two previous cases of corneoscleritis. METHODS: The patient presented with signs and symptoms typical of corneoscleritis. When the fungus was isolated from a biopsy specimen, aggressive scleral debridement was carried out and intensive antifungal therapy was instigated. RESULTS: After a prolonged course, the eye was rendered sterile. CONCLUSION: Early conjunctival recession and aggressive scleral debridement combined with intensive instillation of antifungals are crucial to the successful management of fungal corneoscleritis.
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