Risk of Fungal Endophthalmitis Associated with Cataract Surgery: A Mini-Review

Mycopathologia. 2015 Dec;180(5-6):291-7. doi: 10.1007/s11046-015-9932-z. Epub 2015 Aug 29.

Abstract

Fungal endophthalmitis is a rare complication after cataract surgery and is associated with significant morbidity including vision loss. The common causative fungal pathogens implicated in fungal endophthalmitis after cataract surgery include Candida species (spp.) and molds such as Aspergillus spp. and Fusarium spp. Early diagnosis and effective antifungal treatment after a high index of clinical suspicion are required to reduce unfavorable complications and to preserve eye function. This review discusses epidemiology, pathogenesis, clinical features, diagnosis, management, and outcomes associated with fungal endophthalmitis after cataract surgery.

Keywords: Cataract surgery; Exogenous endophthalmitis; Fungal endophthalmitis.

Publication types

  • Review

MeSH terms

  • Antifungal Agents / therapeutic use
  • Cataract Extraction / adverse effects*
  • Early Diagnosis
  • Endophthalmitis / drug therapy
  • Endophthalmitis / epidemiology*
  • Endophthalmitis / microbiology
  • Fungi / classification
  • Fungi / isolation & purification
  • Humans
  • Mycoses / drug therapy
  • Mycoses / epidemiology*
  • Mycoses / microbiology
  • Risk Assessment
  • Treatment Outcome

Substances

  • Antifungal Agents