Keratitis Caused by Paecilomyces lilacinus after Cataract Surgery in a Patient with Systemic and Autoimmune Disease
Journal of the Korean Ophthalmological Society
; : 1795-1800, 2016.
Article
в Ko
| WPRIM
| ID: wpr-159675
Ответственная библиотека:
WPRO
ABSTRACT
PURPOSE:
To report a case of Paecilomyces lilacinus fungal keratitis after cataract surgery in a patient with chronic systemic and autoimmune disease who was treated with medical therapy and penetrating keratoplasty. CASESUMMARY:
A 72-year-old female was referred for decreased visual acuity and ocular pain in the left eye. She underwent cataract surgery in the left eye 1 month earlier and was treated for 2 weeks for corneal edema and stromal infiltration around the corneal suture. She had a chronic systemic disease with hypertension, hyperlipidemia, hepatitis C and rheumatoid arthritis. Suspecting infectious keratitis, the patient was instructed to stop applying topical and systemic steroids and use topical amphotericin B (0.15%) and moxifloxacin (0.5%). However, without improvement, amphotericin B (0.15%) and moxifloxacin (0.5%) were changed to natamycin (5%) and topical voriconazole (2%) and systemic voriconazole was added. However, her systemic status deteriorated and corneal melting developed, scleral graft implantation and amniotic membrane implantation were performed to prevent corneal perforation 6 weeks after the initial visit. Paecilomyces lilacinus was identified in culture at 7 weeks and penetrating keratoplasty was performed 12 weeks after the initial visit. After penetrating keratoplasty, corneal status was stable for 6 months and no signs of recurrence were observed.CONCLUSIONS:
In a patient with Paecilomyces lilacinus fungal keratitis and chronic systemic and autoimmune disease, penetrating keratoplasty showed good prognosis when the disease was refractory to topical and systemic antifungal agents.Key words
Полный текст:
1
База данных:
WPRIM
Основная тема:
Arthritis, Rheumatoid
/
Prognosis
/
Recurrence
/
Autoimmune Diseases
/
Steroids
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Sutures
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Cataract
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Paecilomyces
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Visual Acuity
/
Corneal Edema
Тип исследования:
Prognostic_studies
Пределы темы:
Aged
/
Female
/
Humans
Язык:
Ko
Журнал:
Journal of the Korean Ophthalmological Society
Год:
2016
Тип:
Article