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. © 2014, Springer Science+Business Media Dordrecht.

Aspergillus flavus endophthalmitis after penetrating keratoplasty combined with cataract phacoemulsification and IOL implantation / SPADEA, LEOPOLDO; ABBOUDA, ALESSANDRO; ABICCA, IRENE; PAROLI, Maria Pia. - In: INTERNATIONAL OPHTHALMOLOGY. - ISSN 0165-5701. - ELETTRONICO. - 35:1(2015), pp. 145-148. [10.1007/s10792-014-0030-x]

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

SPADEA, LEOPOLDO
Primo
;
ABBOUDA, ALESSANDRO
Secondo
;
ABICCA, IRENE
Penultimo
;
PAROLI, Maria Pia
Ultimo
2015

Abstract

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. © 2014, Springer Science+Business Media Dordrecht.
2015
aspergillus flavus; cataract phacoemulsification; endophthalmitis; penetrating keratoplasty
01 Pubblicazione su rivista::01i Case report
Aspergillus flavus endophthalmitis after penetrating keratoplasty combined with cataract phacoemulsification and IOL implantation / SPADEA, LEOPOLDO; ABBOUDA, ALESSANDRO; ABICCA, IRENE; PAROLI, Maria Pia. - In: INTERNATIONAL OPHTHALMOLOGY. - ISSN 0165-5701. - ELETTRONICO. - 35:1(2015), pp. 145-148. [10.1007/s10792-014-0030-x]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/780006
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