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Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
[Postoperative Candida Iris nodules: report of a case]
M Lezrek1, M Nadah, H El Moussaif
1Service d'ophtalmologie A, Hôpital des spécialités, Rabat, Maroc. lezmou@hotmail.com
Bulletin De La Societe Belge D'Ophtalmologie
|January 30, 2010
Summary
Postoperative Candida iris nodules are rare but should be considered in the differential diagnosis. Oral fluconazole effectively treated these fungal eye infections, though inflammation persisted.
Area of Science:
- Ophthalmology
- Mycology
Background:
- Phacoemulsification is a common cataract surgery technique.
- Iris nodules can occur postoperatively, but fungal causes are uncommon.
Observation:
- A 70-year-old immunocompetent patient developed unilateral, whitish iris nodules after phacoemulsification.
- No other signs of endophthalmitis were present initially.
- Histopathology confirmed Candida species (fungal spores).
Findings:
- Intracameral amphotericin B was ineffective against the Candida iris nodules.
- Oral fluconazole led to the disappearance of the nodules.
- Persistent anterior segment inflammation impacted the patient's visual outcome.
Implications:
- Fungal etiology, specifically Candida, should be suspected in postoperative iris nodules.
- Systemic antifungal treatment (oral fluconazole) may be effective.
- Early diagnosis and treatment are crucial for managing fungal endophthalmitis and preserving vision.
