• Military medicine · Jan 2024

    Case Reports

    Case Report: Vision-Threatening Fungal Keratitis in a Service Member Stationed at Guantanamo Bay.

    • Lester H Lambert, Gabriella E Finger, and Brett L Tompkins.
    • Department of Ophthalmology, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USA.
    • Mil Med. 2024 Jan 23; 189 (1-2): 379383379-383.

    AbstractFungal keratitis is a major cause of corneal blindness worldwide. Compared to other types of infectious keratitis, fungal keratitis has a relatively poor prognosis because of various factors such as delayed patient presentation and diagnosis. Although associated in earlier studies with poverty and low socioeconomic status, military personnel stationed in tropical and subtropical climates, in low-resource settings, are at risk. Here, we report a case of a 20-year-old active duty contact lens-wearing military service member stationed at Guantanamo Bay who developed a severe vision-threatening fungal keratitis in her left eye. Enhancing health and safety precautions in at-risk settings, maintaining vigilance, and leveraging new imaging modalities will be important to ensure early recognition and treatment.Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2023. This work is written by (a) US Government employee(s) and is in the public domain in the US.

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