Aspergillus niger endophthalmitis after cataract surgery.
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.
Brar
Gagandeep Singh
GS
Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ram
Jagat
J
Kaushik
Sushmita
S
Chakraborti
Arunaloke
A
Dogra
Mangat R
MR
Gupta
Amod
A
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
D000935:Antifungal Agents; D017964:Itraconazole; D001285:Atropine; D000666:Amphotericin B; D010866:Natamycin