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Published on: November 22, 2024
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.
Abstract:
Corneoscleral tunnel infection is a potentially sight threatening complication of cataract surgery. Microbiological investigations are mandatory and early surgical intervention helps in achieving favourable outcomes. Fungal infection of tunnel incisions can pose a diagnostic and therapeutic challenge. We report a case of post-operative tunnel infection with curvularia. Prompt surgical intervention and intensive topical therapy helped attain a good tectonic as well as visual recovery.
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.
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