title: Subacute exogenous Rhizoctonia solani endophthalmitis following cataract extraction with intraocular lens implantation.
abstract: Seven weeks after uneventful cataract extraction with intraocular lens (IOL) implantation, a 64-year-old man presented to his cataract surgeon with decreased vision and photophobia. The subacute presentation with anterior uveitis prompted initial therapy with topical and periocular glucocorticoids. One month later, the patient presented to the vitreoretinal service with counting fingers visual acuity, prominent anterior chamber reaction, a 2.5 mm hypopyon, and inflammatory deposits over the IOL. Cultures grew Rhizoctonia solani. The inflammation was successfully treated with pars plana vitrectomy, IOL explantation, and intravitreal voriconazole. Rhizoctonia should be included in the differential diagnosis of subacute exogenous endophthalmitis, especially in the context of fibrillar white IOL plaques.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors: From the Charles Retina Institute, Memphis, Tennessee, USA. Electronic address: rdiaz@charles-retina.com.
authors: Rocio I
authors: RI
authors: Diaz
authors: Eric J
authors: EJ
authors: Sigler
authors: John C
authors: JC
authors: Randolph
authors: Jorge I
authors: JI
authors: Calzada
mesh_terms: D000208:Acute Disease; D000935:Antifungal Agents / Q000627:therapeutic use; D002387:Cataract Extraction; 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; D006801:Humans; D058449:Intravitreal Injections; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009181:Mycoses / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D011183:Postoperative Complications; D011743:Pyrimidines / Q000627:therapeutic use; D012232:Rhizoctonia / Q000302:isolation & purification*; D014230:Triazoles / Q000627:therapeutic use; D014821:Vitrectomy; D065819:Voriconazole
chemical_list: D000935:Antifungal Agents; D011743:Pyrimidines; D014230:Triazoles; D065819:Voriconazole