Clinical Spectrum of Corneal Epithelial Microsporidiosis

Abstract

This case series aims to highlight three different clinical variants of microbiologically proven epithelial microsporidiosis, and their customised management wherein the current series, patients with suspected epithelial microsporidiosis were subjected to corneal scraping to confirm the diagnosis. Different microbiologically proven clinical variants were observed and documented. Three clinical variants of epithelial microsporidiosis were noted. The first was of 45-years-old male patient, presented with only raised punctate lesions, and responded to topical lubricants only. The second variant, 28-years-old male patient, had anterior chamber reaction (flare and cells), Keratic Precipitates and descemets folds. This variant also responded with topical lubricants over a period of one month. The third variant, 32-years-old male patient at presentation, had typical epithelial raised punctate corneal lesions, however at one week subepithelial infiltrates appeared. These lesions responded to topical steroids. The current series highlights three different clinical variants of microbiologically proven epithelial microsporidiosis and their customised management.