How is fungal keratitis in HIV infection diagnosed?

Updated: Jun 12, 2019
  • Author: Robert A Copeland, Jr, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

The workup for fungal keratitis includes a detailed history and complete ophthalmologic examination. The history should include contact lenses use, lens-care regimen, previous corneal disease, and topical or systemic steroid use.

A thorough slit lamp examination is important. Deep corneal scrapings or even corneal biopsy for Giemsa, periodic acid-Schiff, or Gomori methenamine-silver staining with culture and sensitivity to define treatment, particularly with persistent ulcer may be indicated.


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