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  • Title: Fungal scleritis after cataract surgery. Successful outcome using itraconazole.
    Author: Carlson AN, Foulks GN, Perfect JR, Kim JH.
    Journal: Cornea; 1992 Mar; 11(2):151-4. PubMed ID: 1316256.
    Abstract:
    We report the development of fungal scleritis in a 53-year-old man after uncomplicated cataract surgery. Histopathology and culture identified the organism as Aspergillus flavus. Clinically, the patient worsened on treatment with oral ketoconazole and topical amphotericin B with progression of multifocal scleral nodules and necrosis. Resolution of inflammation was achieved using oral itraconazole, a new triazole antifungal agent. The patient achieved 20/15-2 visual acuity and remains free of symptoms and signs for greater than 2 years after discontinuation of all treatment.
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