Postoperative mycotic endophthalmitis

We report a series of 4 patients who experienced a low-grade mycotic endophthalmitis 3 to 7 months after uneventful cataract surgery. In all patients, the capsular bag was irrigated several times and amphotericin B was instilled intraocularly as well as systemically. In the fourth patient, a pars pl...

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Main Authors: Rensch, Florian (Author) , Schlichtenbrede, Frank (Author) , Jonas, Jost B. (Author)
Format: Article (Journal)
Language:English
Published: July 2010
In: Journal of cataract and refractive surgery
Year: 2010, Volume: 36, Issue: 7, Pages: 1233-1234
ISSN:1873-4502
DOI:10.1016/j.jcrs.2010.04.025
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jcrs.2010.04.025
Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/jcrs/Abstract/2010/07000/Postoperative_mycotic_endophthalmitis.26.aspx
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Author Notes:Florian Rensch, Frank C. Schlichtenbrede, Jost B. Jonas

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520 |a We report a series of 4 patients who experienced a low-grade mycotic endophthalmitis 3 to 7 months after uneventful cataract surgery. In all patients, the capsular bag was irrigated several times and amphotericin B was instilled intraocularly as well as systemically. In the fourth patient, a pars plans vitrectomy was been performed. Microbiological examination of aqueous humor samples revealed Candida parapsilosis in 3 patients and Candida albicans in 1 patient as causative microorganisms. At follow-up examinations performed up to 12 months after the lavage, visual acuities were 0.2, 0.1, 0.1, and hand motion in the 4 patients, respectively. The main reason for the remaining reduction in visual acuity was retinal and optic nerve atrophy. The findings show that a mycotic etiology of postoperative low-grade infectious endophthalmitis should be considered. 
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