We present a case of keratitis nine months after Descement's membrane endothelial keratoplasty (DMEK) in a patient with Fuchs endothelial disease. Endothelial scraping revealed this rare yeast infection at the interface between graft and host cornea. Immediate antifungal treatment with intracameral and corneal intrastromal injections of voriconazole and amphotericin B remained unsuccessful, requiring penetrating keratoplasty. This case highlights the challenging management of keratomycosis in patients with endothelial grafts.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7902762PMC
http://dx.doi.org/10.1016/j.mmcr.2021.02.001DOI Listing

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