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<p>Fungal keratitis is still a relatively rare but very serious ophthalmological condition with a potentially vision-threatening course, possibly including even loss of the eye. Similar to acanthamoeba keratitis, it is often initially misdiagnosed at the slit lamp. For more than 20 years an increase in the incidence of fungal keratitis has been observed, also in Germany, possibly due to the increased use of soft contact lenses and climate change. This article provides an overview of the typical clinical signs and symptoms of keratomycosis and presents the latest findings in the field of diagnostics as well as drug and, in particular, microsurgical treatment. A special focus is placed on the indications and technique of emergency keratoplasty (à chaud) for fungal keratitis and its postoperative care.</p>

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Fungal keratitis in Germany

  • 期刊论文

  • 发表日期：

    2026年1月27日

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  • Berthold Seitz,
  • Y. Abu Dail,
  • T. Berger,
  • S. Suffo,
  • E. Flockerzi,
  • F. Flockerzi,
  • L. Daas

摘要

Fungal keratitis is still a relatively rare but very serious ophthalmological condition with a potentially vision-threatening course, possibly including even loss of the eye. Similar to acanthamoeba keratitis, it is often initially misdiagnosed at the slit lamp. For more than 20 years an increase in the incidence of fungal keratitis has been observed, also in Germany, possibly due to the increased use of soft contact lenses and climate change. This article provides an overview of the typical clinical signs and symptoms of keratomycosis and presents the latest findings in the field of diagnostics as well as drug and, in particular, microsurgical treatment. A special focus is placed on the indications and technique of emergency keratoplasty (à chaud) for fungal keratitis and its postoperative care.