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  • Title: Infectious Pseudomonas and Bipolaris scleritis following history of pterygium surgery.
    Author: Abbey AM, Shah NV, Forster RK, Suh LH.
    Journal: Indian J Ophthalmol; 2016 Sep; 64(9):674-676. PubMed ID: 27853018.
    Abstract:
    We report an interesting case of infectious scleritis from coinfection of Pseudomonas aeruginosa and Bipolaris with no corneal infiltrate. A healthy 60-year-old man with a history of infectious scleritis following pterygium excision presented with purulent material growing P. aeruginosa and 1+ colonies of Bipolaris species of fungus. Broad spectrum treatment was initiated with hourly topical moxifloxacin, fortified tobramycin, and natamycin along with a subconjunctival injection of voriconazole and topical cyclosporine, with PO ketoconazole. After 10 weeks of aggressive empiric treatment, the patient's symptoms had resolved, and his vision returned to baseline although a scleral patch graft was utilized to stabilize scleral thinning.
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