Highlights of Fungal Keratitis

• Trauma by vegetative/plant matter; indiscriminate use of topical steroids 
• Apergillus (MC in India); Fusarium; Candida 
• Symptoms: Acute pain, redness, watering, decreased vision, photophobia - Less severe than bacterial keratitis - "More Signs less symptoms!!"
• Signs: Blepharospasm, lid edema, ciliary congestion 
• O/E : Dry looking yellowish white lesion with feathery edges; satellite lesions seen, dense immobile hypopyon present which may NOT be sterile (since fungi can penetrate intact Descemet’s membrane);  Perforation and vascularisation are rare 
• Treatment: Antifungal drops and ointments )Itraconazole, anatmycin); Cycloplegics (Homatropine/Cyclopentalate/Atropine)