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  • Title: Fungal Endophthalmitis Associated With DSAEK and Thermal Sclerostomy.
    Author: Wang SY, Ghodasra DH, Amin SR, Mian SI, Jayasundera KT.
    Journal: Ophthalmic Surg Lasers Imaging Retina; 2016 Jul 01; 47(7):691-3. PubMed ID: 27434905.
    Abstract:
    An 85-year-old man with remote thermal sclerostomy and Descemet's stripping automated endothelial keratoplasty (DSAEK) in the right eye presented urgently for pain and blurred vision in that eye. Examination revealed bleb purulence and vitreous cellular aggregates concerning for endophthalmitis. Microscopy of a vitreous sample revealed yeast and pseudohyphae. He developed corneal infiltrates consistent with fungal infection. Therapy included topical, intravitreal, and systemic antifungals voriconazole and amphotericin. Fungal pathogens have very rarely been reported to cause bleb-associated endophthalmitis and should be considered in addition to bacterial pathogens. Vitreous aspiration should be performed in all cases of bleb-related endophthalmitis and include fungal studies. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:691-693.].
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