Curvularia lunata endophthalmitis with secondary keratitis.

Kaushik, S; Ram, J; Chakrabarty, A; Dogra, M R; Brar, G S; Gupta, A · Am J Ophthalmol · 2001

case_report · Level V

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Abstract

To report a case of pseudophakic endophthalmitis with secondary keratitis caused by Curvularia lunata. A 40-year-old man presented with a fluffy mass in the anterior chamber with low-grade delayed postoperative inflammation in the right eye. The anterior chamber and vitreous aspirate demonstrated C. lunata. A large corneal infiltrate developed after aspiration of the mass. Treatment with systemic, topical, and intraocular antifungal agents cleared the vitreous, but the cornea perforated. Delayed low-grade infection with a fluffy mass in the anterior chamber after cataract surgery can rarely be a clinical presentation of dematiaceous fungal infection. Secondary keratitis may result after a diagnostic aspiration.

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