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Early onset endophthalmitis caused by Aspergillus species following cataract surgery

David Callanan1, Ingrid U Scott, Timothy G Murray

  • 1Texas Retina Associates, Dallas, Texas, USA. dcallanan@texasretina.com

American Journal of Ophthalmology
|August 29, 2006
PubMed
Abstract

Insights

Early onset Aspergillus endophthalmitis after cataract surgery is rare but serious. Poor visual outcomes and eye removal (enucleation) are common, necessitating prompt diagnosis and treatment.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Post-cataract surgery endophthalmitis can lead to severe vision loss.
  • Fungal infections, particularly Aspergillus, are a rare but significant cause.

Purpose of the Study:

  • To describe cases of early onset Aspergillus endophthalmitis following cataract surgery.
  • To highlight the clinical course and outcomes.

Main Methods:

  • Retrospective review of medical records.
  • Analysis of cases treated between 1992 and 2005.

Main Results:

  • Five patients with Aspergillus endophthalmitis were identified.
  • Mean diagnosis time was 29 days post-surgery.
  • 60% of affected eyes required enucleation; final visual acuity was poor in remaining eyes.

Conclusions:

  • Aspergillus should be considered in early-onset endophthalmitis after cataract surgery.
  • Visual outcomes are generally poor, with a high rate of enucleation.

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