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Aspergillus niger endophthalmitis after cataract surgery.
Gagandeep Singh Brar1, Jagat Ram, Sushmita Kaushik
1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Journal of Cataract and Refractive Surgery
|October 22, 2002
Summary
A diabetic patient developed Aspergillus niger endophthalmitis following cataract surgery, presenting with a black corneal growth. Prompt antifungal treatment was initiated, but the patient declined further surgical intervention.
Area of Science:
- Ophthalmology
- Mycology
- Infectious Diseases
Background:
- Cataract surgery, particularly extracapsular cataract extraction, can present risks for post-operative complications.
- Diabetes mellitus is a known risk factor for various infections, including fungal infections.
Observation:
- A 65-year-old diabetic woman presented 9 weeks post-cataract surgery with a distinctive black growth on the cornea.
- Ocular ultrasonography revealed moderate vitreous echoes, suggesting intraocular involvement.
Findings:
- Microbiological confirmation identified Aspergillus niger as the causative agent of endophthalmitis.
- The patient received a treatment regimen including intravitreal amphotericin B, topical natamycin, atropine, and oral antifungal medication.
Implications:
- Early diagnosis and aggressive antifungal therapy are crucial for managing fungal endophthalmitis.
- Despite treatment, the patient's visual prognosis remained guarded, and she refused recommended surgical procedures like penetrating keratoplasty and vitrectomy.