ABSTRACT
Keratomycosis or fungal keratitis is an important corneal cause of ocular morbidity. It is more commonly seen in tropical regions of the world. Fungal organisms can penetrate through the corneal stroma without perforation of the cornea resulting in an infectious hypopyon or the formation of an endothelial plaque. The management becomes challenging as the majority of antifungal drugs exhibit poor corneal penetration properties. A 67-year-old male, a farmer by occupation, underwent right penetrating keratoplasty eight months ago for trachomatous keratopathy with preoperative poor ocular surface. Alternaria is a filamentous fungus from the Dematiaceae family, a group of darkly pigmented moulds that are ubiquitous in soil, plants, food and indoor air environments. The therapeutic keratoplasty was successful in controlling the fungal infection with a final visual acuity of 6/36 at a six-month follow-up visit.
