Excellent visual outcome following Aspergillus flavus endogenous endophthalmitis-farmer's lung disease

Sophie J Bakri1, Jonathan E Sears, Gary W Procop

  • 1Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905, USA. sbakri@hotmail.com

Abstract

Insights

Early and aggressive treatment of Aspergillus flavus endophthalmitis, including pars plana vitrectomy and amphotericin B, led to good visual recovery in a patient with fungal eye infection.

Area of Science:

  • Ophthalmology
  • Mycology
  • Infectious Diseases

Background:

  • Reports a case of endogenous Aspergillus flavus endophthalmitis.
  • Highlights the importance of prompt and aggressive management for favorable outcomes.

Observation:

  • A 76-year-old male with allergic Aspergillus pneumonitis presented with vision loss and ocular inflammation.
  • The patient underwent pars plana vitrectomy and received systemic and intravitreal amphotericin B.

Findings:

  • Aspergillus flavus was identified in the vitreous biopsy.
  • The patient achieved a final visual acuity of 20/80 despite developing a cataract.

Implications:

  • Early intervention with surgical and medical treatment can preserve vision in Aspergillus endophthalmitis.
  • This case underscores the potential for good visual outcomes with timely management of fungal endophthalmitis.