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Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report

Fungal keratitis is a complication of refractive surgery that, if not treated in time, can lead to blindness. Given the lack of effective topical treatments for fungal ulcers, surgical treatment is necessary. The least invasive procedure is a cross-linking pack, although it has limitations when the...

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Autores principales: Garduño Vieyra, Leopoldo, Rúa Martínez, Raúl, Flores Escobar, Bruno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9251449/
https://www.ncbi.nlm.nih.gov/pubmed/35950026
http://dx.doi.org/10.1159/000525212
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author Garduño Vieyra, Leopoldo
Rúa Martínez, Raúl
Flores Escobar, Bruno
author_facet Garduño Vieyra, Leopoldo
Rúa Martínez, Raúl
Flores Escobar, Bruno
author_sort Garduño Vieyra, Leopoldo
collection PubMed
description Fungal keratitis is a complication of refractive surgery that, if not treated in time, can lead to blindness. Given the lack of effective topical treatments for fungal ulcers, surgical treatment is necessary. The least invasive procedure is a cross-linking pack, although it has limitations when the fungus has penetrated the deep layers of the cornea. In this case report, a patient that presented a typical case of fungal corneal ulcer with hand motion perception, on the fourth day after surgery, is described. Given the nonresponse to topical antifungal treatment, plasma treatment was performed prior to cross-linking. Plasma acts by nonmechanical debridement of the ulcer, reducing the fungal colonies and allowing better penetration of riboflavin. After 6 months, the cornea remained transparent, without haze, and the patient achieved 20/25 vision.
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spelling pubmed-92514492022-08-09 Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report Garduño Vieyra, Leopoldo Rúa Martínez, Raúl Flores Escobar, Bruno Case Rep Ophthalmol Case Report Fungal keratitis is a complication of refractive surgery that, if not treated in time, can lead to blindness. Given the lack of effective topical treatments for fungal ulcers, surgical treatment is necessary. The least invasive procedure is a cross-linking pack, although it has limitations when the fungus has penetrated the deep layers of the cornea. In this case report, a patient that presented a typical case of fungal corneal ulcer with hand motion perception, on the fourth day after surgery, is described. Given the nonresponse to topical antifungal treatment, plasma treatment was performed prior to cross-linking. Plasma acts by nonmechanical debridement of the ulcer, reducing the fungal colonies and allowing better penetration of riboflavin. After 6 months, the cornea remained transparent, without haze, and the patient achieved 20/25 vision. S. Karger AG 2022-06-17 /pmc/articles/PMC9251449/ /pubmed/35950026 http://dx.doi.org/10.1159/000525212 Text en Copyright © 2022 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Garduño Vieyra, Leopoldo
Rúa Martínez, Raúl
Flores Escobar, Bruno
Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report
title Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report
title_full Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report
title_fullStr Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report
title_full_unstemmed Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report
title_short Cross-Linking Pack Plus Plasma in the Mycotic Corneal Ulcer Case Report
title_sort cross-linking pack plus plasma in the mycotic corneal ulcer case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9251449/
https://www.ncbi.nlm.nih.gov/pubmed/35950026
http://dx.doi.org/10.1159/000525212
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