The Role of in Vivo Confocal Microscopy in Diagnosing and Managing Infectious Keratitis in Deployed French Military Personnel: A Case Series.
Oriane Robert, Raphaël Dargier, Amira Chaher et al.
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Case in brief
This case series details four instances of infectious keratitis in young male military personnel, primarily linked to improper contact lens use or ocular trauma. Traditional corneal cultures were negative, highlighting their limitations. In vivo confocal microscopy (IVCM) facilitated the rapid identification of filamentous fungi and amoebic cysts, enabling targeted treatment and preventing severe complications such as corneal perforation.
Diagnostic / clinical pearl
In vivo confocal microscopy is a valuable tool for diagnosing infectious keratitis, especially in resource-limited settings where conventional cultures may fail.
Why it matters
The use of IVCM can significantly improve patient outcomes by allowing for timely and accurate diagnosis, which is crucial in preventing severe complications associated with infectious keratitis.