Punctate epithelial keratoconjunctivitis: A microsporidial i
The present case has been published in the Indian Journal of Ophthalmology.

A 6-year-old female child presented with redness, eyelid swelling associated with a mucopurulent discharge in the left eye, which started after taking a bath in river water 1 month ago. Local eye doctor diagnosed her having an allergy and advised topical steroids that worsened the condition.

Left eye revealed mixed conjunctival reaction with a palpable preauricular lymph node. Cornea revealed numerous raised punctate intraepithelial lesions that were better seen after fluorescein staining. Diagnostic scrapings (calcofluor white stain, 400×) confirmed microsporidial spores. Her condition resolved after simple corneal debridement.

Learning Points:-
• Microsporidial keratoconjunctivitis is a self-limiting ocular surface infestation: mostly unilateral, associated with the mucoid discharge, typical raised punctate intraepithelial lesions and that were better appreciated on fluorescein staining.

• Meticulous debridement eradicates the corneal infestation.

• Steroids should not be used in this entity.

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