Fig. 1.

Slit lamp photography and microscopy images of T. destructans keratitis. Notice dense white corneal infiltrate with overlying epithelial defect at presentation (1A). Confocal microscopy showed absence of fungal hyphae (1B). Six weeks after presentation a new elevated corneal infiltrate was noticed (1C) and confocal microscopy confirmed presence of hyper-reflective branching fungal hyphae (1D, blue arrows). Culture from corneal scrapings identified a hyphomycete which produced phoma-like pycnidia (1E). Six months after penetrating keratoplasty, biomicroscopy showed a clear graft without recurrence of fungal activity (1F). (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)