2026-04-18T04:15:39Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/125262025-10-24T10:43:32Zcom_2072_378070com_2072_378040col_2072_378092

2025-10-24T10:43:31Z urn:hdl:11351/12526 Therapeutic Keratoplasty for Fusarium Keratitis Gutuleac, Liliana Anglada-Masferrer, Natalia Segura-Duch, Gloria Martin Nalda, Sara Bisbe López, Laia PUIG GALY, Javier José Oliver-Gutierrez, David Zapata, Miguel Angel Martin Gomez, M. Teresa Còrnia - Trasplantació Fusariosi Queratitis Ulls - Infeccions ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Surgical Procedures, Operative::Transplantation::Tissue Transplantation::Corneal Transplantation DISEASES::Eye Diseases::Corneal Diseases::Keratitis DISEASES::Eye Diseases::Eye Infections::Eye Infections, Fungal TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::intervenciones quirúrgicas::trasplante::trasplante de tejidos::trasplante de córnea ENFERMEDADES::oftalmopatías::enfermedades de la córnea::queratitis ENFERMEDADES::oftalmopatías::infecciones del ojo::infecciones fúngicas del ojo Fusarium; Corneal transplantation; Therapeutic keratoplasty Fusarium; Trasplante de córnea; Queratoplastia terapéutica Fusarium; Trasplantament de còrnia; Queratoplàstia terapèutica Purpose: This study evaluates the effectiveness of therapeutic keratoplasty for Fusarium fungal keratitis and explores the diagnosis and management challenges of this infectious corneal disease. Methods: We retrospectively analyzed therapeutic keratoplasty cases at a tertiary hospital for Fusarium keratitis when standard treatments failed. Results: Five cases of Fusarium keratitis, unresponsive to typical antifungal treatments, required keratoplasty due to fast progression and diagnostic difficulties. Post-surgery, all patients had infection resolution without recurrence, but some complications like anterior chamber leakage, graft rejection, and ocular hypertension were managed effectively. Final visual acuity ranged from 0.9 to finger counting. Conclusions: Fusarium keratitis, often resistant to conventional therapies, may necessitate keratoplasty for resolution. This intervention is crucial for positive outcomes, emphasizing the need for prompt and effective management to prevent severe surgical measures and preserve ocular health. 2025-10-24T10:43:31Z 2025-10-24T10:43:31Z 2025-02-03T13:57:11Z 2025-02-03T13:57:11Z 2024-12-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/11351/12526 Journal of Clinical Medicine;13(24) https://doi.org/10.3390/jcm13247775 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess MDPI Scientia