ABSTRACT
Infective keratitis is a major cause of ocular morbidity and it is extremely important to manage these cases appropriately and in a timely manner. majority of cases are caused by a handful of pathogens; however, there are a few atypical organisms that the ophthalmologist should be aware of. The patient showed marked symptomatic improvement within the first 48 hours followed by a gradual decrease in corneal infiltrates. Radial keratoneuritis, i.e. linear radial, branching infiltration by the parasites along corneal nerves in the anterior stroma, is a characteristic sign and may be helpful in picking up cases early; it is also responsible for the excruciating pain present in some patients. The symptoms first started six months ago when she was diagnosed elsewhere as viral keratitis and treated with topical antivirals and antibiotics and an intermittent course of topical steroids.
