1. Protracted Aspergillus versicolor endophthalmitis caused by corneal microperforation.
- Author
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Bifrare YD and Wolfensberger TJ
- Subjects
- Cornea microbiology, Humans, Male, Middle Aged, Wounds, Penetrating diagnosis, Aspergillosis diagnosis, Aspergillosis etiology, Aspergillus, Corneal Injuries, Endophthalmitis diagnosis, Endophthalmitis etiology, Wounds, Penetrating complications
- Abstract
Background: Here we describe the characterization of a protracted Aspergillus versicolor endophthalmitis caused by a corneal microperforation., History and Signs: A 58-year-old patient noticed blurred vision two weeks after he was hit in the eye by an old cable in a dilapidated house. A traumatic cataract and an intraocular inflammation were diagnosed and treated elsewhere with phacoemulsification and anti-inflammatory drugs. Vitreous samples were sterile. Despite topical steroids visual acuity continued to decrease and the patient presented in Lausanne 6 months later with a visual acuity of counting fingers, major inflammation of the anterior segment and a small corneal scar. Fundus examination revealed massive vitreous inflammation with a voluminous whitish chorioretinal infiltrate temporally., Therapy and Outcome: Vitrectomy with dissection of a protuberant epiretinal filamentous tissue in the temporal fundus was performed, and Amikacine, Vancomycine and Amphothericine were injected intravitreally. Bacteriological work-up revealed Aspergillus versicolor. Visual acuity improved to 0.2 with topical steroids and oral antifungal drugs., Conclusions: Corneal microperforations may cause a protracted endophthalmitis due to Aspergillus versicolor, a rare fungus, which is commonly found in insulation materials and cables in dilapidated houses.
- Published
- 2007
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