Abstract
A 62 yearold male had a primary failed descemet stripping automated endothelial keratoplasty (DSAEK) following an eventful DSAEK surgery and was kept on long-term topical steroid in a tapering dosage. 5 months later, the turgid host cornea developed a pearly white crystalline anterior stromal infiltrate suggestive of infectious crystalline keratopathy (ICK). Gram stain smear revealed gram-positive, round to oval, large, budding cells which exhibit blue-white florescence with calcofluor white stain. Species level identification as Candida parapsilosis, in addition to the antifungal sensitivity, was aided by a yeast reagent card on VITEK 2 compact automated microbiology system. Based of antifungal sensitivity report, the patient was treated with both oral fluconazole and topical antifungals and responded to the management. Clinical diagnosis of ICK with a mandatory microbiological workup is prudent for a successful outcome.
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