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Case report
Dematiaceous fungal invasion of a bandage contact lens
  1. Anirban Dutta1,
  2. Sujata Das1,
  3. Himanshu Sekhara Behera2 and
  4. Ruchi Mittal3
  1. 1Cornea, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, India
  2. 2Ocular Microbiology, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, India
  3. 3Ophthalmic Pathology, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, India
  1. Correspondence to Dr Sujata Das; sujatadas{at}lvpei.org

Abstract

A 61-year-old man presented with a 1-month history of reduced vision, redness and pain in the right eye. Examination revealed a bandage contact lens (BCL) in situ with diffuse, pigmented deposits. On removal, the underlying cornea was found to be clear. He had been prescribed the BCL 6 months ago following a deep-seated corneal foreign body removal and was unable to follow-up subsequently.

The BCL was sent for microbiological and histopathological evaluation. The culture revealed growth of Cladosporium spp, a dematiaceous fungi. Periodic acid–Schiff staining revealed infiltration of pigmented fungal filaments into the substance of the BCL.

While contact lens deposits are a frequent finding, fungal deposits are seldom noted. Irregular follow-up and improper lens maintenance are significant risk factors for the same. Early identification and subsequent removal of the lens is vital to prevent infection of the underlying ocular structures.

  • eye
  • anterior chamber

https://doi.org/10.1136/bcr-2020-240029

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    Footnotes

    • Contributors AD: manuscript writing. SD: patient care, manuscript editing. HSB: diagnosis, microbiological analysis. RM: diagnosis, histopathological analysis.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.