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a better prognosis. Early full-thickness corneal transplant should be considered for Pythium keratitis not responding to treatment. To characterize the sequelae of microsporidia keratoconjunctivitis (MKC) and outline its management. Retrospective analysis of microbiologically proven MKC returned with persistent disease between January 2015 and December 2019 was done. Demographics, clinical features, management, and outcome were analyzed. Sixteen patients (21 eyes) of 332 treated for MKC returned with the persisting disease. The mean age