Fungal keratitis with rare species: Phoma

Fungal keratitis is rare in temperate countries but is a major cause of visual loss in tropical and developing countries. Fungal keratitis can elicit a severe inflammatory response, corneal perforation is common and visual outcome is usually poor. Here, we report the case of keratitis following ocular trauma with stone particle, caused by Phoma , a rare fungal species, confirmed on fungal culture. The most common offenders among the filamentous types globally are Aspergillus spp. and Fusarium spp., whereas Candida spp. often dominates in the yeast category. In this case, the patient remained unresponsive to topical antifungals and showed good response to intrastromal injection voriconazole.