Abstract:

 Objective To analyze clinical features and pathogen of fungal keratitis in Xishuangbanna Autonomous Prefecture, Yunnan Province in 2004-2014. Design Retrospective case series. Participants 599 cases of fungal keratitis patients confirmed by Xishuangbanna Prefecture People's Hospital. Methods All cases were retrospectively reviewed for emographic characteristics, predisposing factors, etiological characteristics and previous treatments. Main Outcome Measures Emographic characteristics, etiology and pathogens. Results Prevalence ratio of male and female was 3:1, with major age range from 35 to 65 (47.5%).  Rural residents were 63.4%. There was a high incidence of fungal keratitis in wet season of Xishuangbanna area (85.4%). 78.4% cases were associated with plant-induced trauma. 32.5% patients had received glucocorticoid medication in early treatment. Fusarium (37.8%), aspergillus (32.7%) were the main pathogenic bacteria of fungal keratitis. Conclusions Young and middle-aged male farmers, plant-induced ocular trauma in rainy season are the main risk factors of fungal keratitis in Xishuangbanna area. (Ophthalmol CHN, 2017, 26: 49-51)

Key words:  fungal keratitis, Xishuangbanna area