Artículo
Alternaria keratitis and hypopyon after clear-cornea phacoemulsification
Esposito, Evangelina; Maccio, J. Pablo; Monti, Rodolfo; Cervi, Laura Alejandra
; Serra, Horacio Marcelo
; Urrets Zavalía, Julio Alberto
Fecha de publicación:
02/2014
Editorial:
Elsevier Science Inc
Revista:
Journal Of Cataract And Refractive Surgery.
ISSN:
0886-3350
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
We report a case of Alternaria keratitis and hypopyon following clear-corneal cataract surgery. A 66-year-old woman presented with a painful red left eye several months after uneventful self-sealing clear-corneal phacoemulsification that was unresponsive to prolonged treatment with topical/oral quinolones and topical corticosteroids. A full-thickness stromal white dense infiltrate in the area of the intrastromal tunnel incision and a 2.0 mm hypopyon were observed. Culture from corneal scrapings revealed Alternaria species. Treatment included topical and subconjunctival injections of amphotericin-B (5 mg/mL) and 200 mg of oral ketoconazole. Complete resolution of the corneal infiltration and hypopyon was observed after 30 days of treatment, with no recurrence during 6 years of follow-up. To our knowledge, this is the first report of Alternaria species keratitis complicating self-sealing clear-corneal cataract surgery. Topical and subconjunctival injections of amphotericin-B and oral ketoconazole were effective in resolving the corneal abscess and anterior chamber inflammatory reaction. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.
Palabras clave:
Fungal Keratitis
,
Corneal Abscess
,
Alternaria Keratitis
,
Fungal Hypopyon
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Articulos(CIBICI)
Articulos de CENTRO DE INV.EN BIOQUI.CLINICA E INMUNOLOGIA
Articulos de CENTRO DE INV.EN BIOQUI.CLINICA E INMUNOLOGIA
Citación
Urrets Zavalía, Julio Alberto; Serra, Horacio Marcelo; Cervi, Laura Alejandra; Monti, Rodolfo; Maccio, J. Pablo; Esposito, Evangelina; et al.; Alternaria keratitis and hypopyon after clear-cornea phacoemulsification; Elsevier Science Inc; Journal Of Cataract And Refractive Surgery.; 40; 2; 2-2014; 331-334
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