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More Than Tears in Your Eyes (Exophiala jeanselmei keratitis)

Ben-Simon, Guy J. M.D.; Grinbaum, Aaron M.D.; Barequet, Irina S. M.D.

Case Reports

Purpose. To describe a patient with Exophiala jeanselmei keratitis.

Methods. Case report. One patient with persistent corneal infiltrate that developed several days after a minor ocular trauma from an onion slice.

Results. Culture plates from corneal scraping showed a growth of the yeast Exophiala jeanselmei, a rare causative agent of ocular infection.

Conclusions. Whenever a corneal abscess does not improve with the usual antibiotic treatment, a thorough ophthalmic history should be taken to determine whether there was a recent ocular trauma. If the trauma was caused by a plant material, the physician should raise the possibility of an unusual fungal infection.

From the Goldschleger Eye Institute, Sheba Medical Center, Tel Aviv University, Tel-Hashomer, Israel.

Submitted June 6, 2001.

Revision received November 6, 2001.

Accepted November 20, 2001.

Address correspondence and reprint requests to Dr. G. Ben-Simon, Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer 52621, Israel. E-mail:

© 2002 Lippincott Williams & Wilkins, Inc.