Curvularia lunata endophthalmitis with secondary keratitis.
OBJECTIVE
To report a case of pseudophakic endophthalmitis with secondary keratitis caused by Curvularia lunata.


METHODS
A 40-year-old man presented with a fluffy mass in the anterior chamber with low-grade delayed postoperative inflammation in the right eye.


RESULTS
The anterior chamber and vitreous aspirate demonstrated C. lunata. A large corneal infiltrate developed after aspiration of the mass. Treatment with systemic, topical, and intraocular antifungal agents cleared the vitreous, but the cornea perforated.


CONCLUSIONS
Delayed low-grade infection with a fluffy mass in the anterior chamber after cataract surgery can rarely be a clinical presentation of dematiaceous fungal infection. Secondary keratitis may result after a diagnostic aspiration.
Kaushik
S
S
Department of Ophthalmology and Microbiology, Postgraduate Institute of Medical Education and Research, 160012, Chandigarh, India.
Ram
J
J
Chakrabarty
A
A
Dogra
M R
MR
Brar
G S
GS
Gupta
A
A
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001082:Aqueous Humor / Q000382:microbiology; D002387:Cataract Extraction; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000382:microbiology*; D019654:Lens Implantation, Intraocular; D008297:Male; D003904:Mitosporic Fungi / Q000302:isolation & purification*; D009181:Mycoses / Q000188:drug therapy / Q000382:microbiology*; D014822:Vitreous Body / Q000382:microbiology
D000935:Antifungal Agents