Fig. 5

Disease course after the trauma. At first, there was no visible foreign body in ocular tissue therefore therapeutic contact lens was inserted for treatment of corneal perforation. A week later, corneal wound was sealed spontaneously, and topical steroid was prescribed to control the inflammation of conjunctiva and sclera. Six weeks after the trauma, the conjunctival foreign body was surgically removed (1st surgery). Ten weeks after the trauma, a fungal ball was observed in the anterior chamber. Scleral and anterior lens capsular foreign bodies were surgically removed (2nd surgery). Simultaneous intracameral and subconjunctival amphotericin B injections (0.01 mg/0.1 cc) were administered. Eleven weeks after the trauma, the suspected corneal foreign body was removed, and intracameral amphotericin B (0.01 mg/0.1 cc) was injected again (3rd surgery). A culture test of the scleral foreign body showed fungal hyphae, and an unspecified mold form was subsequently cultured. Twelve weeks after the trauma, phacoemulsification for traumatic cataract extraction and intracameral amphotericin B administration were performed (4th surgery). A KOH smear test of anterior capsule and fibrotic membrane obtained from 4th surgery showed fungal hyphae. Thirteen weeks after the trauma, Aspergillus was isolated in the fungus culture. Twenty-seven weeks after the trauma, a secondary intraocular lens was inserted (5th surgery)