Abstract
Purpose:
We studied a case of Aspergillus endophthalmitis after sutureless cataract surgery.
Methods:
A patient underwent sutureless phacoemulsification complicated by a posterior capsular tear. She subsequently developed Aspergillus endophthalmitis. Amphotericin B was injected intravitreally at the time of repeat pars plana vitrectomy.
Results:
The eye was enucleated because of pain and poor response to treatment.
Conclusions:
We recommend suturing the wound in any eye that has experienced a complication of surgery.
MeSH terms
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Aged
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Aged, 80 and over
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Amphotericin B / therapeutic use
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Antifungal Agents / therapeutic use
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Aspergillosis / drug therapy
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Aspergillosis / etiology*
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Aspergillus / isolation & purification
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Endophthalmitis / drug therapy
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Endophthalmitis / microbiology*
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Eye Enucleation
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Eye Infections, Fungal / drug therapy
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Eye Infections, Fungal / etiology*
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Female
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Humans
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Itraconazole / therapeutic use
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Lenses, Intraocular
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Phacoemulsification / adverse effects*
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Reoperation
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Suture Techniques*
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Vitrectomy
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Vitreous Body / microbiology
Substances
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Antifungal Agents
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Itraconazole
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Amphotericin B