Nontraumatic keratomycosis caused by Alternaria in a glaucoma patient.

A case of keratomycosis caused by Alternaria species in a patient with glaucoma is reported. A 55-year-old Japanese man who had been followed for developmental glaucoma presented with corneal ulcer in his right eye, which did not respond to antibacterial agents. There was no history of traumatic episode. Culture on potato dextrose agar from corneal scraping yielded Alternaria species. Topical amphotericin B treatment achieved recovery from ulceration although the corneal opacity remained.