The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Fungal corneal ulcer

Photo by Professor Chua chung Nen

This 60 year-old man from a remote village develops a right corneal ulcer. The clinical appearance is suggestive of a fungal corneal ulcer. The cornea shows deep stromal infiltrations with satellite lesions and dense hypopyon. He is given topical natamycin and oral fluconazole. The first scrapping of the ulcer shows no growth and the result of a repeated scrapping is pending.

 

Right corneal ulcer with deep stromal infiltrations and satellite lesions.

 

Close-up view of stromal infiltrations.

 

Close-up views of stromal infiltrations and satellite lesions.

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