Fungal keratitis
Hello, Doctor Gao: Recently, while cleaning my house, I accidentally opened a bag of moldy fruit and some spores got into my eyes.
I already have some allergy symptoms in my eyes, and I'm concerned about the possibility of developing fungal keratitis.
How many days should I observe for symptoms, and what specific symptoms should I be aware of? Thank you for your guidance.
Cai, 20~29 year old female. Ask Date: 2016/01/31
Dr. Gao Pilin reply Ophthalmology
Hello Mr.
Tsai: If the cornea is not compromised, it usually will not become infected with fungal keratitis.
Allergies are an issue related to the conjunctiva and typically do not lead to corneal infection.
If an infection does occur, symptoms may include blurred vision and eye pain, and it is essential to seek medical attention promptly.
The Ophthalmology Department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Sincerely, Dr.
Kao Pi-Lin.
Reply Date: 2016/01/31
More Info
Fungal keratitis is a serious eye condition that occurs when fungi infect the cornea, the clear front surface of the eye. This can happen after exposure to fungal spores, such as those released from moldy fruits or other organic materials. Given your recent experience of accidentally exposing your eyes to mold spores, it is understandable to be concerned about the potential for infection.
Symptoms of Fungal Keratitis
After exposure to fungal spores, symptoms of fungal keratitis may not appear immediately. Typically, you should monitor for the following signs over the next few days:
1. Redness: Increased redness in the eye, particularly around the cornea.
2. Pain: A sensation of discomfort or pain in the affected eye, which may range from mild to severe.
3. Blurred Vision: Changes in vision, including blurriness or difficulty focusing.
4. Sensitivity to Light: Increased sensitivity to light (photophobia) may occur.
5. Tearing or Discharge: Excessive tearing or a discharge from the eye, which may be clear or purulent.
6. Swelling: Swelling of the eyelids or conjunctiva (the membrane covering the white part of the eye).
Precautions and Monitoring
Given your history of allergic symptoms, it is crucial to monitor your eyes closely for any of the above symptoms. If you notice any of these signs, it is advisable to seek medical attention promptly. Fungal keratitis can progress rapidly and may lead to serious complications, including vision loss, if not treated appropriately.
What to Do Next
1. Observation: Keep an eye on your symptoms for the next 3 to 7 days. If you experience any worsening symptoms or new symptoms develop, consult an eye care professional immediately.
2. Avoid Rubbing Your Eyes: This can introduce more irritants and potentially worsen any existing condition.
3. Maintain Hygiene: Wash your hands frequently and avoid touching your eyes to minimize the risk of introducing additional pathogens.
4. Use Artificial Tears: If your eyes feel dry or irritated, using preservative-free artificial tears can help soothe them. However, avoid any medicated eye drops unless prescribed by a doctor.
When to Seek Help
If you experience any of the following, seek immediate medical attention:
- Severe eye pain that does not improve.
- Significant changes in vision.
- Persistent redness or swelling that does not subside.
- Any discharge that is yellow, green, or has a foul odor.
Conclusion
While the risk of developing fungal keratitis from a single exposure to mold spores may be low, it is essential to remain vigilant and monitor your symptoms closely. Early detection and treatment are critical in managing fungal keratitis effectively. If you have any concerns or if symptoms develop, do not hesitate to reach out to an eye care professional for a thorough examination and appropriate treatment. Your eye health is paramount, and taking these precautions can help ensure that any potential issues are addressed promptly.
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