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Management of Candida glabrata infectious crystalline keratopathy with endophthalmitis following penetrating keratoplasty
Indian J Ophthalmol ; 2018 Jul; 66(7): 1012-1014
Article | IMSEAR | ID: sea-196793
A 33-year-old male underwent an optical keratoplasty elsewhere in the right eye following which he developed endophthalmitis and subsequently underwent a pars plana vitrectomy and lensectomy. At presentation, he had a deep stromal crystalline infiltration along the graft–host junction. A large therapeutic keratoplasty was performed, and the excised corneal button was evaluated. Histopathology revealed gram-positive round-to-oval budding structures and microbiology identified the organism as Candida glabrata. He was treated with antifungals in the postoperative period. At 4 months after therapeutic keratoplasty, the patient developed recurrent endophthalmitis, following stoppage of antifungals. The treatment was reinstituted for another year, and the patient did well with a clear graft at 18-month-follow-up period after the recurrence episode. Management of infectious crystalline keratopathy with endophthalmitis is a challenging situation and requires long-term treatment.
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Texte intégral: 1 Indice: IMSEAR Texte intégral: Indian J Ophthalmol Année: 2018 Type: Article
Texte intégral: 1 Indice: IMSEAR Texte intégral: Indian J Ophthalmol Année: 2018 Type: Article