S1.5d Spectrum of etiological agents of mycotic keratitis: A n 11- year review

Abstract

S1.5 Mycotic Keratitis, September 21, 2022, 11:00 AM - 12:30 PMBackgroundTo assess the spectrum of etiological agents of mycotic keratitis over an 11-year-period at a tertiary eye care center in southern India.MethodsA retrospective review was made of microbiological data relating to corneal scrapings performed over a period of 11 years (January 2011-December 2021) on 1200 individuals who presented with suspected microbial keratitis. Each individual underwent corneal scraping and the scraped materials were subjected to meticulous microbiological analysis that included direct microscopy (Gram-stain and lactophenol cotton blue wet mount) and culture on multiple solid and liquid culture media.ResultsA total of 404 fungal isolates were recovered from the corneal scrapings of 1200 patients with suspected microbial keratitis. Of the 404 fungal isolates, Fusarium spp (133) were the predominant isolates, followed by Aspergillus flavus (104), Curvularia spp (24), Aspergillus fumigatus (17), Bipolaris sp (7), Alternaria sp (2), Colletrotrichum sp (2) Cylindrocarpon lichenicola (2) Exserohilum sp (1) and Drechslera sp (1); there were also 111 filamentous fungus isolates that defied identification in spite of various efforts made to induce sporulation. Of the 404 culture-proven cases of mycotic keratitis, 381 patients confirmed ocular trauma while engaged in agricultural activity.Conclusion Fusarium spp., followed by Aspergillus spp., were the most common organisms found in mycotic keratitis patients in this specific geographical area. Additional efforts are required to spread awareness among villagers about the dangers of not promptly treating mycotic and other forms of microbial keratitis so that blindness and visual disability caused by corneal scarring in rural areas can be reduced.