Trauma to Transplant: Pediatric Pythium Keratitis Advancing to Anterior Staphyloma
Ravi Solanki, Laxmi Ahir, Kavita Shah, Atul Modesara
Ophthalmology Research: An International Journal · pp. 67–71 · Published 13 Oct 2025
10.9734/or/2025/v20i5479Abstract
Pythium keratitis, an aggressive vision-threatening infection that rarely affects children. We present the case of an 11-year-old boy who, three years after ocular trauma with a cow horn, experienced progressive corneal opacity and protrusion with vision loss in the right eye. He had a clinical diagnosis of Pythium keratitis, which progressed to anterior staphyloma after healing with scarring and ectasia. Histopathology confirmed the patient's healed Pythium keratitis sequelae after therapeutic penetrating keratoplasty. With better vision and cosmesis after surgery, the graft remained clear. This instance emphasises the importance of prompt keratoplasty in visual and cosmetic rehabilitation by highlighting an uncommon consequence of paediatric Pythium keratitis that progresses to anterior staphyloma.
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