Aspergillus flavus endophthalmitis after penetrating keratoplasty combined with cataract phacoemulsification and IOL implantation

被引:8
|
作者
Spadea, Leopoldo [1 ]
Abbouda, Alessandro [2 ]
Abicca, Irene [2 ]
Paroli, Maria Pia [2 ]
机构
[1] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Latina, Italy
[2] Univ Roma La Sapienza, Dept Ophthalmol, I-00185 Rome, Italy
关键词
VORICONAZOLE; KERATITIS;
D O I
10.1007/s10792-014-0030-x
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
To report the clinical findings and management of a case of Aspergillus flavus endophthalmitis following penetrating keratoplasty (PKP) and combined cataract extraction. Clinical cornea appearance was evaluated by slit-lamp examination. Ocular ultrasonography was performed to evaluate the anterior chamber and vitreous cavity. The cornea was scraped. The corneal-scleral donor rim and media were cultured. The diagnosis of A. flavus infection was made. The patient received fortified antifungal drops (voriconazole 1 % solution) plus systemic voriconazole 400 mg/die. A second corneal transplant was performed, and the anterior chamber was cleaned and washed with a solution of voriconazole 1 %. At the end of follow-up, CDVA was 20/20 and slit-lamp examination showed a clear cornea graft. This case illustrates a severe A. flavus endophthalmitis after PKP and demonstrates the possibilities of visual function restoration. Furthermore, this case describes the different sources of fungal infection after PKP and the different clinical appearances.
引用
收藏
页码:145 / 148
页数:4
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