Fungal Endophthalmitis Associated With DSAEK and Thermal Sclerostomy.
Wang SY, Ghodasra DH, Amin SR, Mian SI, and Jayasundera KT. Fungal endophthalmitis associated with DSAEK and thermal sclerostomy Ophthalmic Surg Lasers Imaging Retina 2016; 47(7):691-693
Ophthalmic Surg Lasers Imaging Retina
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