Treatment Failure after Lamellar Keratoplasty for Fungal Keratitis

Treatment failure after LK for fungal keratitis can be reduced significantly with adept intraoperative skills. Aspergillus species, use of glucocorticoids or immunosuppressants, and presence of hypopyon or endothelial plaque before LK should be noted as major risk factors. Prompt recognition and management of failed LK with PK can achieve successful outcomes.