Purpose. This work aims to study the problems encountered with and the different epidemiological features of patients with fungal\nkeratitis. Patients and Methods. All cases with keratitis attending the Outpatient Clinic of Ophthalmology Department at Tanta\nUniversity Hospital during three years from the first of January 2011 to the end of December 2013 were selected and carefully\nexamined and cases with mycotic keratitis were further examined and investigated. Results. From 66303 attendants during this\nperiod with different complaints, there were 361 cases (0.54%) with mycotic keratitis and 473 cases (0.71%) of nonmycotic origin.\nMycotic keratitis is common between 40 and 60 years, more in farmers (64%), families with large number and large crowding index,\nrural than urban residence, and patients with outdoor water sources and insanitary sewage disposal. Positive fungal cultures were\nobtained in 84.5% and were negative in 15.5% of cases in spite of their typical clinical findings for diagnosis and their improvement\nwith antifungal therapy. Conclusion. Mycotic keratitis is more frequent in farmers, rural areas, outdoor water supply, insanitary\nsewage disposal, and patients preceded with organic trauma. Atypical clinical findings were found in some cases and not all cases\nimproved with specific antifungal therapy.
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