목시플록사신만으로 치료된 푸사륨 진균 각막염 1예

A Case of Fusarium Keratitis Treated with Moxifloxacin 0.5% Ophthalmic Solution

Purpose: To report a case of fusarium keratitis treated with only moxifloxacin 0.5% ophthalmic solution (Vigamox?, Alcon Laboratories, Inc., Ft Worth, TX, USA). Case summary: A 37- year- old healthy male patient experienced a right eye injury due to grain 7 days prior to presentation at our hospital with visual disturbance and ocular pain. A 2.7 × 4.3 mm sized corneal epithelial defect with irregular featherlike midstromal infiltration was observed, and slit lamp examination revealed a dry, rough texture. Thus a smear and culture were performed. Moxifloxacin 0.5% ophthalmic solution (Vigamox?) and lubricant were applied for treatment. Three days after using the eye solution, all clinical features improved. Seven days later, Fusarium species was identified in culture. Conclusions: As standard treatment for Fusarium, the authors of the present study used an antifungal agent. Although hyphae were detected in culture, the use of only moxifloxacin 0.5% ophthalmic solution (Vigamox?) result in a satisfactory result and improvement in clinical features. J Korean Ophthalmol Soc 2012;53(2):338-341