Infectious crystalline keratopathy caused by Cladosporium sp. after penetrating keratoplasty: a case report

Background: Infectious keratitis is a frequent cause of blindness and ocular morbidity in developing countries.1 Infectious crystalline keratopathy (ICK) is a rare, progressive infection characterized by the insidious progression of branches and crystalline corneal opacities with minimal or no inflammation. Predisposing factors most commonly include topical corticosteroids, previous corneal surgery, herpetic keratitis, neurotrophic keratopathy, and topical anesthetic abuse. The appearance and evolution of ICK are typically the results of clusters of bacterial colonies, particularly streptococcus viridan colonies.2,3 This is the first description of a case of Cladosporium sp.-induced infectious crystalline keratopathy, although other forms of keratitis caused by Cladosporium have been described.

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