Ophthalmic Surgery, Lasers and Imaging Retina

Brief Report 

Postoperative Endothalmitis Caused by Candida parapsilosis Clinical Features and Treatment Outcomes

Peter E. Liggett, MD; Harry W. Flynn Jr., MD; Richard Scartozzi, MD; Richard Scartozzi, MD

Abstract

Full text of this article can be found in the PDF.

Three consecutive patients with postoperative Candida parapsilosis endophthalmitis presented from a single surgeon and surgery center after uncomplicated cataract surgery. All patients were treated with pars plana vitrectomy (PPV), intraocular lens removal, total capsulectomy, and intraoperative injection of intravitreal antifungal agent. Intraoperative cultures of undiluted vitreous and lens capsule were all positive for the fungus. All patients also received oral antifungal agents postoperatively. Two of these patients received several serial intravitreal antifungal injections after PPV. Following these treatments, all infections were resolved and vision outcomes were favorable at last follow-up.

Abstract

Full text of this article can be found in the PDF.

Three consecutive patients with postoperative Candida parapsilosis endophthalmitis presented from a single surgeon and surgery center after uncomplicated cataract surgery. All patients were treated with pars plana vitrectomy (PPV), intraocular lens removal, total capsulectomy, and intraoperative injection of intravitreal antifungal agent. Intraoperative cultures of undiluted vitreous and lens capsule were all positive for the fungus. All patients also received oral antifungal agents postoperatively. Two of these patients received several serial intravitreal antifungal injections after PPV. Following these treatments, all infections were resolved and vision outcomes were favorable at last follow-up.

Authors

From New England Retina Associates (RS, DT, PEL), Hamden, Connecticut; and Bascom Palmer Eye Institute (HWF), University of Miami, Miller School of Medicine, Miami, Florida.

Originally submitted August 10, 2010. Accepted for publication January 6, 2011. Posted online March 10, 2011.

Presented as a poster at the Annual Meeting of the American Society of Retina Specialists, August 30, 2010, Vancouver, British Columbia, Canada.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Richard Scartozzi, MD, New England Retina Associates, 2200 Whitney Avenue, Suite 300, Hamden, CT 06518. E-mail: neretina@msn.com

10.3928/15428877-20110303-02

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