Title

Fungal Endophthalmitis Associated With DSAEK and Thermal Sclerostomy.

Document Type

Article

Publication Date

7-1-2016

Publication Title

Ophthalmic Surg Lasers Imaging Retina

Abstract

An 85-year-old man with remote thermal sclerostomy and Descemet's stripping automated endothelial keratoplasty (DSAEK) in the right eye presented urgently for pain and blurred vision in that eye. Examination revealed bleb purulence and vitreous cellular aggregates concerning for endophthalmitis. Microscopy of a vitreous sample revealed yeast and pseudohyphae. He developed corneal infiltrates consistent with fungal infection. Therapy included topical, intravitreal, and systemic antifungals voriconazole and amphotericin. Fungal pathogens have very rarely been reported to cause bleb-associated endophthalmitis and should be considered in addition to bacterial pathogens. Vitreous aspiration should be performed in all cases of bleb-related endophthalmitis and include fungal studies. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:691-693.].

Medical Subject Headings

Aged, 80 and over; Corneal Diseases; Descemet Stripping Endothelial Keratoplasty; Endophthalmitis; Eye Infections, Fungal; Humans; Low Tension Glaucoma; Male; Sclerostomy; Surgical Wound Infection

PubMed ID

27434905

Volume

47

Issue

7

First Page

691

Last Page

693

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