title: Aspergillus endophthalmitis in one eye subsequent to bilateral anterior chamber phakic intraocular lens implantation.
abstract: OBJECTIVE
  To present a case of unilateral Aspergillus endophthalmitis after bilateral anterior chamber phakic intraocular lens (IOL) implantation in a 26-year-old myopic patient.
  
  
  METHODS
  Three days after bilateral phakic IOL implantation, the patient presented with complaints of pain and low vision in the left eye and was treated for uveitis. Four weeks later, the patient presented with complaints of pain and decreased vision.
  
  
  RESULTS
  Culture results of the anterior chamber and IOL specimens were positive for Aspergillus. Anterior chamber washing, membrane removal, anterior chamber phakic IOL removal, lensectomy, and anterior vitrectomy along with administration of topical, systemic, and antifungal drugs and intracameral tissue plasminogen activator improved the patient's corrected distance visual acuity to 20/40 with +6.00 -2.00 × 130°.
  
  
  CONCLUSIONS
  Although ocular inflammation occurring after IOL implantation responds to corticosteroids, intraocular infections should always be taken into consideration to prevent severe ocular morbidity.
authors.affiliation: Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Jalili
authors.forename: Hassan
authors.initials: H
authors.lastname: Hashemi
authors.forename: Mahmood
authors.initials: M
authors.lastname: Jabarvand
authors.forename: Said Ali
authors.initials: SA
authors.lastname: Tabatabai
mesh_terms: D000328:Adult; D000867:Anterior Chamber / Q000382:microbiology / Q000601:surgery*; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D003131:Combined Modality Therapy; D020878:Device Removal; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D009216:Myopia / Q000601:surgery; D054120:Phakic Intraocular Lenses; D014792:Visual Acuity; D014821:Vitrectomy
chemical_list: D000935:Antifungal Agents