Corneal abscess of torpid evolution

Abstract

Objective: To report a complex clinical case of difficult-to-treat infectious keratitis.
Clinical case: Thirty-five-year-old female patient with an advanced corneal abscess of torpid evolution in her right eye. After sample collection (corneal scraping for direct and microbiological examination, culture and antibiogram) and empirical treatment with fortified eye drops, conjunctival flaps and corneal grafts were required on four occasions, in addition to cataract surgery 8 months after the last graft, until resolution of the infection was achieved. The causative agents identified were: Staphylococcus aureus, universal fungi and Acanthamoeba spp.
Conclusion: When faced with a case of infectious keratitis of erratic evolution, a polymicrobial origin should be suspected and all the therapeutic and clinico-surgical resources should be used for its resolution. The importance of trying to identify the causative agent involved in order to administer specific therapy is hereby stressed.