ASPERGILLUS-FUMIGATUS SCLERITIS

We report a case of scleritis caused by Aspergillus fumigatus, The infection was successfully treated with antifungal drugs, cryotherapy and dura mater grafting. A 67-year-old man developed a scleral ulcer 2 months after suffering a trauma in his right eye caused by the branch of a tree. Diagnosis was made after biopsy of a scleral nodule, Scrapings showed hyphal fragments and cultures were positive for Aspergillus fumigatus, Although therapy with oral fluconazol and topical amphotericin B was begun, the scleritis continued to worsen, so cryotherapy and dura mater grafting were performed, The patient showed no signs of infection for 8 months after discontinuation of antifungal drugs.