Fungal Keratitis Following Application of Dehydrated Amniotic Membrane (Omnigen) With (OmniLenz) Bandage Contact Lens

Background Amniotic membrane is a common treatment option for several corneal and conjunctival conditions. There are several methods for preserving amniotic membrane, and each involves some compromise of the tissue integrity. Dehydrated amniotic membrane has been used for several indications, including microbial infections, aniridia, chemical burns, and limbal stem cell deficiency, as in Steven–Johnson syndrome. We report a case of fungal keratitis following the application of a sutureless dehydrated amniotic membrane using specialized bandage contact lens, OmnioLenz (NuVision Biotherapies Ltd., United Kingdom). Case Report A 34‐year‐old male with keratoconus who had undergone deep anterior lamellar keratoplasty presented with a recurrent epithelial defect at the graft–host junction that was not responding to conservative management. A sutureless dehydrated amniotic membrane was applied but the patient developed fungal keratitis in the central cornea. The infiltrate culture revealed Candida parapsilosis . The patient was started on antifungal and antibacterial topical eyedrops and showed favorable response to topical antimicrobial agents on follow‐up. Conclusion High suspicion and close observation are recommended for patients who underwent keratoplasty, especially in the presence of multiple risk factors such as dehydrated amniotic membrane transplant, to detect any signs of infection in a timely manner and thereby prevent vision‐threatening complications.