Delhi Journal of Ophthalmology

Secondary Fungal Infection in Viral Keratitis

Sudhakar Potti, Santha Kumari Darla, Eswar Rao Sakare
Department of Cornea and Refractive Services, Sankara Eye Hospital, Guntur, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Sudhakar Potti (MS)
Sankara Eye Hospitals, Pedakakani, 
Guntur, Vijayawada Expressway, Guntur, 
Andhra Pradesh, India
Email id: sudhakar.cmo@sankaraeye.com


Received: 02-AUG-2019 Accepted: 15-SEP-2019 Published Online: 09-MAY-2020
DOI: https://dx.doi.org/10.7869/djo.532

Abstract
Purpose: To report incidence of secondary fungal infection in herpes simplex keratitis.
Case Summary: Two patients of recurrent viral keratitis who were on systemic antivirals and topical steroids presented with worsening symptoms and decreased vision with epithelial defect and pigmented stromal infiltrate. Corneal scrapings were done. Fungal hyphae were seen on smears and growth on culture. Steroid therapy was stopped, systemic antivirals continued and antifungal therapy was started. 
Conclusion: Secondary infection has to be considered, when herpes keratitis worsens on treatment. We should be aware of uncommon manifestations of keratitis.

Keywords :Herps simplex keratitis, secondary infection, fungal infection