DR. ANSU ANN JOHN

DR. HIMANSHU MATALIA, MRS.NANDINI C., DR. NAMITA DAVE

Abstract

66-year-old diabetic arthritic male presented with history of sudden onset of pain with discharge in left eye since a month. On examination, an area of scleral necrosis with purulent discharge was seen, with rest of anterior segment being unremarkable. Past history revealed previous trabeculectomy and vitrectomy surgeries in left eye. We suspected infectious scleritis in view of the purulent discharge although history of seronegative arthritis could account for the scleral thinning. KOH-CFW stain showed microsporidia. Blood serology sent was negative. ASOCT was documented for progressive scleral thinning. Topical voriconazole, Neosporin with systemic doxycycline & albendazole was started. Patient responded to treatment. During the process of response to treatment, epithelialized surface was noted on ASOCT.

Conclusion:

Microsporidial infection of cornea is well documented but scleral affection of microsporidia is uncommon. Timely diagnosis and proper treatment help in saving such eyes.