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An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
Fungal and parasitic infections of the eye
S A Klotz1, C C Penn, G J Negvesky
1Section of Infectious Diseases, Veterans Affairs Medical Center, Kansas City, Missouri 64128, USA. klotzs@netscape.net
Abstract:
The unique structure of the human eye as well as exposure of the eye directly to the environment renders it vulnerable to a number of uncommon infectious diseases caused by fungi and parasites. Host defenses directed against these microorganisms, once anatomical barriers are breached, are often insufficient to prevent loss of vision. Therefore, the timely identification and treatment of the involved microorganisms are paramount. The anatomy of the eye and its surrounding structures is presented with an emphasis upon the association of the anatomy with specific infection of fungi and parasites. For example, filamentous fungal infections of the eye are usually due to penetrating trauma by objects contaminated by vegetable matter of the cornea or globe or, by extension, of infection from adjacent paranasal sinuses. Fungal endophthalmitis and chorioretinitis, on the other hand, are usually the result of antecedent fungemia seeding the ocular tissue. Candida spp. are the most common cause of endogenous endophthalmitis, although initial infection with the dimorphic fungi may lead to infection and scarring of the chorioretina. Contact lens wear is associated with keratitis caused by yeasts, filamentous fungi, and Acanthamoebae spp. Most parasitic infections of the eye, however, arise following bloodborne carriage of the microorganism to the eye or adjacent structures.
Insights
The human eye is susceptible to rare fungal and parasitic infections due to its structure and environmental exposure. Prompt diagnosis and treatment are crucial to prevent vision loss from these ocular infections.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Medical Mycology
- Medical Parasitology
Background:
- The human eye's unique anatomy and direct environmental exposure make it vulnerable to uncommon fungal and parasitic infections.
- Host defenses are often insufficient to prevent vision loss once anatomical barriers are compromised by these microorganisms.
- Timely identification and treatment are paramount for managing ocular infections.
Purpose of the Study:
- To present the anatomy of the eye and surrounding structures.
- To emphasize the association between ocular anatomy and specific fungal and parasitic infections.
- To highlight the importance of prompt diagnosis and treatment in preventing vision loss.
Main Methods:
- Review of ocular anatomy and its relation to infection pathways.
- Discussion of common etiologies and clinical presentations of fungal and parasitic eye infections.
- Emphasis on diagnostic and therapeutic considerations.
Main Results:
- Filamentous fungal eye infections often result from trauma or sinus infections.
- Endogenous fungal endophthalmitis and chorioretinitis are typically seeded by fungemia, with Candida spp. being a common cause.
- Parasitic eye infections often arise from bloodborne dissemination.
Conclusions:
- Understanding ocular anatomy is key to recognizing infection risks.
- Prompt diagnosis and treatment are essential for managing fungal and parasitic eye diseases.
- Contact lens wear is a risk factor for keratitis caused by various fungi and Acanthamoeba species.
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