Curvularia infection of corneoscleral tunnel

Manisha Singh1, Abhishek Dave1, Arpan Gandhi1

  • 1Cornea and Anterior Segment Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.

Insights

Fungal infections after cataract surgery can threaten sight. Early surgical intervention and intensive topical therapy for post-operative tunnel infections, like the Curvularia case reported, can lead to favorable visual recovery.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Corneoscleral tunnel infections are serious complications following cataract surgery.
  • Prompt diagnosis and intervention are crucial for preserving vision.

Observation:

  • Fungal infections of surgical tunnel incisions present unique diagnostic and therapeutic challenges.
  • A case of post-operative tunnel infection caused by Curvularia is presented.

Findings:

  • Early surgical intervention combined with intensive topical therapy was effective in managing the fungal tunnel infection.
  • The patient achieved good tectonic and visual recovery.

Implications:

  • This case highlights the importance of considering fungal etiologies in refractory post-operative endophthalmitis.
  • Aggressive management strategies can lead to successful outcomes in challenging fungal keratitis cases.

Related Concept Videos

Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.1K
Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.2K
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
907