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Curvularia lunata endophthalmitis with secondary keratitis
S Kaushik1, J Ram, A Chakrabarty
1Department of Ophthalmology and Microbiology, Postgraduate Institute of Medical Education and Research, 160012, Chandigarh, India.
Purpose:
To report a case of pseudophakic endophthalmitis with secondary keratitis caused by Curvularia lunata.
Methods:
A 40-year-old man presented with a fluffy mass in the anterior chamber with low-grade delayed postoperative inflammation in the right eye.
Results:
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.
Conclusion:
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.