THE DOUBLE TROUBLE OF FUNGAL ULCERS & DIABETES - A CHALLENGING CASE REPORT

Tanvi Chandel*, Sejal Katoch, Gaurav Sharma and Ashwani Negi

ABSTRACT

Corneal ulcers are a common sight threatening condition that requires prompt diagnosis & treatment. Fungal corneal ulcers, in particular, are a challenging clinical entity that can be complicated by underlying medical conditions such as Diabetes. We report a challenging case of a 35 years old patient who was diagnosed with fungal corneal ulcer in Right eye. He was started on anti-fungal medications, topical antibiotics eye drops. Despite receiving appropriate treatment patient’s condition did not improve. After investigating, the patient was found to have uncontrolled diabetes & aggressive blood sugar control measures were taken. The patient also experienced a Central Retinal Vein Occlusion (CRVO) during the course of his treatment, which was promptly and effectively managed. Patient has improved symptomatically & he is currently on treatment & follow up from Ophthalmology department at Dr RPGMC Kangra at Tanda. This case highlights the importance of prompt & aggressive management of fungal corneal ulcers in patients with diabetes to avoid complications. Additionally, it underscores the necessity of routine fundus examinations for patients with diabetes to identify and address vision-threatening diseases promptly. Timely intervention and regular eye care are essential to maintain the ocular health and vision of individuals living with diabetes.

Keywords: Corneal ulcer, Diabetes, Fungal Keratitis, CRVO, Macular edema.