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Aspergillus endophthalmitis after sutureless cataract surgery
K W Oxford1, R L Abbott, W E Fung
1Pacific Ophthalmic Consultants, California Pacific Medical Center, San Francisco 94115, USA.
American Journal of Ophthalmology
|October 1, 1995
Summary
Sutureless cataract surgery complications can lead to Aspergillus endophthalmitis. Prompt treatment is crucial, but severe cases may necessitate eye enucleation, highlighting the importance of wound closure.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Sutureless cataract surgery offers advantages but carries risks.
- Posterior capsular tears are a known complication.
- Fungal endophthalmitis is a serious post-operative complication.
Observation:
- A patient developed Aspergillus endophthalmitis following sutureless phacoemulsification with a posterior capsular tear.
- The patient received intravitreal Amphotericin B during pars plana vitrectomy.
Findings:
- Despite treatment, the eye was enucleated due to persistent pain and lack of response.
- This case illustrates a severe outcome of fungal endophthalmitis.
Implications:
- Suturing surgical wounds after cataract surgery complications may prevent severe outcomes.
- Early recognition and aggressive treatment of endophthalmitis are vital.
- Further research into preventative measures for sutureless surgery complications is warranted.