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The aim of this study was to investigate the incidence and clinical characteristics of fungal keratitis patients living in a temperate climate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>By reviewing medical records from 2000 to July 2013, patients with fungal keratitis were identified. Risk factors, clinical signs and outcome were registered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010five patients were identified: 52% with <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>andida<\/jats:italic>, 20% with <jats:italic><jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>usarium<\/jats:italic>, 16% with <jats:italic><jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>spergillus<\/jats:italic> and 12% with mixed filamentous fungi. A minimum incidence of fungal keratitis of 0.6 cases per million per year was estimated. Prior topical steroid treatment was commonly found in our cases (44%). Trauma including contact lens wear was associated with infection with filamentous fungi, whereas in patients with <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>andida infection, ocular surface disease was a prominent feature. Median time from onset of symptoms to diagnosis was 24\u00a0days. Only a few patients exhibited classical clinical features such as endothelial plaques (28%), satellite lesions (24%) and feathery edges (16%). The final visual outcome was poor with an average best\u2010corrected log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> of (mean, 95% CI) 0.70 (0.4\u20131.0). A total of 52% were treated with corneal transplantation. Patients with <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>andida<\/jats:italic> infections had a significantly worse visual outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found that patients with fungal keratitis had a poor visual outcome. However, knowledge of risk factors and clinical signs leading to early treatment can improve the prognosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.12440","type":"journal-article","created":{"date-parts":[[2014,5,19]],"date-time":"2014-05-19T06:02:17Z","timestamp":1400479337000},"page":"54-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":94,"title":["Incidence and clinical characteristics of fungal keratitis in a <scp>D<\/scp>anish population from 2000 to 2013"],"prefix":"10.1111","volume":"93","author":[{"given":"Stine E.","family":"Nielsen","sequence":"first","affiliation":[{"name":"Opthalmology Department University Hospital of Aarhus Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esben","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Opthalmology Department University Hospital of Aarhus Aarhus 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