title: Aspergillus niger endophthalmitis after cataract surgery.
abstract: We report a 65-year-old diabetic woman who developed Aspergillus niger endophthalmitis after cataract surgery. She presented 9 weeks after extracapsular cataract extraction with a black growth covering the cornea and moderate echoes in the vitreous on ultrasonography. After microbiological confirmation of fungal endophthalmitis, the patient received intravitreal amphoterecin B 5 micro g, topical natamycin 5% hourly, atropine 1% 3 times, and oral antifungal therapy. The patient was told the visual prognosis and was advised to have penetrating keratoplasty and vitrectomy, which she refused.
authors.affiliation: Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Gagandeep Singh
authors.initials: GS
authors.lastname: Brar
authors.forename: Jagat
authors.initials: J
authors.lastname: Ram
authors.forename: Sushmita
authors.initials: S
authors.lastname: Kaushik
authors.forename: Arunaloke
authors.initials: A
authors.lastname: Chakraborti
authors.forename: Mangat R
authors.initials: MR
authors.lastname: Dogra
authors.forename: Amod
authors.initials: A
authors.lastname: Gupta
mesh_terms: D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D001234:Aspergillus niger / Q000302:isolation & purification*; D001285:Atropine / Q000627:therapeutic use; D002387:Cataract Extraction / Q000009:adverse effects*; D003315:Cornea / Q000382:microbiology; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D010866:Natamycin / Q000627:therapeutic use; D014822:Vitreous Body / Q000382:microbiology
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D001285:Atropine; D000666:Amphotericin B; D010866:Natamycin