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¹M.D. Department of Ophthalmology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara/TURKEY
²M.D. Professor Cornea Service, Department of Ophthalmology, Wills Eye Hospital, Jefferson Medical College of Thomas Jefferson University, Philadelphia/ABD A 48-year-old man presented with a 4-week history of increasing pain and redness of the left eye. He was on hourly topical fortified tobramycin and gatifloxacin by the referring doctor without improvement. On examination, the left eye showed a perforated central corneal ulcer with feathery-like infiltration. We applied a therapeutic contact lens after the application of tissue adhesive. Two days after the application of tissue adhesive, Siedel test was positive again and the corneal cultures grew Fusarium Solani. On this basis, we performed emergent therapeutic penetrating keratoplasty. Four months after the keratoplasty, a tube was done due to the medically uncontrolled intraocular pressure (IOP). One year after the keratoplasty, patient underwent a facoemulsification and intraocular lens implantation. The best corrected visual acuity was 20/30 and IOP was under control with topical brimonidin 2x1 gtt 3 years after the keratoplasty surgery. Keywords : Fusarium; perforated corneal ulcer; fungal keratitis; keratoplasty; contact lens