Persistent Torulopsis magnoliae endophthalmitis following cataract extraction.
Postoperative fungal endophthalmitis typically manifests as an indolent uveitis, weeks to months after surgery. In our patient, Torulopsis magnoliae endophthalmitis appeared as an acute, purulent postoperative endophthalmitis on the third day following extracapsular cataract extraction with implantation of a posterior chamber intraocular lens (IOL). The patient required three separate vitrectomy operations with instillation of intravitreal Amphotericin B; the last operation also included complete removal of the posterior capsule and IOL. This case, which is to our knowledge the first reported case of T. magnoliae endophthalmitis, is unusual in that it manifested as an acute, fulminant infection in the early postoperative period and was recalcitrant to standard endophthalmitis therapy.
Rosenfeld
S I
SI
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Fla.
Jost
B F
BF
Litinsky
S M
SM
Gelender
H
H
Glatzer
R J
RJ
Flynn
H W
HW
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000666:Amphotericin B / Q000627:therapeutic use; D002177:Candidiasis / Q000188:drug therapy; D002387:Cataract Extraction / Q000009:adverse effects*; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000188:drug therapy; D005260:Female; D006801:Humans; D007910:Lenses, Intraocular
D000666:Amphotericin B