title: Fungal Endophthalmitis Associated With DSAEK and Thermal Sclerostomy.
abstract: An 85-year-old man with remote thermal sclerostomy and Descemet's stripping automated endothelial keratoplasty (DSAEK) in the right eye presented urgently for pain and blurred vision in that eye. Examination revealed bleb purulence and vitreous cellular aggregates concerning for endophthalmitis. Microscopy of a vitreous sample revealed yeast and pseudohyphae. He developed corneal infiltrates consistent with fungal infection. Therapy included topical, intravitreal, and systemic antifungals voriconazole and amphotericin. Fungal pathogens have very rarely been reported to cause bleb-associated endophthalmitis and should be considered in addition to bacterial pathogens. Vitreous aspiration should be performed in all cases of bleb-related endophthalmitis and include fungal studies. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:691-693.].
authors.forename: Sophia Y
authors.initials: SY
authors.lastname: Wang
authors.forename: Devon H
authors.initials: DH
authors.lastname: Ghodasra
authors.forename: Sejal R
authors.initials: SR
authors.lastname: Amin
authors.forename: Shahzad I
authors.initials: SI
authors.lastname: Mian
authors.forename: K Thiran
authors.initials: KT
authors.lastname: Jayasundera
mesh_terms: D000369:Aged, 80 and over; D003316:Corneal Diseases / Q000601:surgery; D057111:Descemet Stripping Endothelial Keratoplasty / Q000009:adverse effects*; D009877:Endophthalmitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D057066:Low Tension Glaucoma / Q000601:surgery; D008297:Male; D012599:Sclerostomy / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology