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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 336

Evisceration - Not an epilogue!


1 Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli, Tamil Nadu, India
2 Paediatric and Strabismology Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli, Tamil Nadu, India
3 Orbit and Oculoplasty Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli, Tamil Nadu, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Venugopal Anitha
Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli, Tamil Nadu - 627 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1890_21

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How to cite this article:
Anitha V, Ravindran M, Maneksha V. Evisceration - Not an epilogue!. Indian J Ophthalmol Case Rep 2022;2:336

How to cite this URL:
Anitha V, Ravindran M, Maneksha V. Evisceration - Not an epilogue!. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 16];2:336. Available from: https://www.ijoreports.in/text.asp?2022/2/1/336/334919



A 60-year-old male presented with graft melt following reinfection of the therapeutic graft for Fusarium keratitis with extrusion of intraocular contents in the left eye [Figure 1]a. After two weeks of evisceration, the patient presented with brownish, cauliflower-like growth in the socket [Figure 1]b. The culture revealed Fusarium. Even a minuscule extension of the fungus to the sclera,[1] its high resistance to antifungal therapy,[2] or the harboring of the fungus in the conjunctival wound during evisceration may lead to recurrences even after the procedure.[3] Repeated wound toileting and systemic antifungals help in the eradication. Although fungal recurrence after evisceration is rare, a long-term follow-up is imperative in such cases.
Figure 1: (a) Image showing Graft melt with extrusion of intraocular contents (b) Image showing post eviscerated socket with fungus growth

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Chatterjee S, Agrawal D. Recurrence of infection in corneal grafts after therapeutic penetrating keratoplasty for microbial keratitis. Cornea 2020;39:39-44.  Back to cited text no. 1
    
2.
Manikandan P, Abdel-Hadi A, Randhir Babu Singh Y, Revathi R, Anita R, Banawas S, et al. Fungal keratitis: Epidemiology, rapid detection, and antifungal susceptibilities of Fusarium and Aspergillus isolates from corneal scrapings. Biomed Res Int 2019;2019:6395840.  Back to cited text no. 2
    
3.
Gonzalez-Fernandez F, Kaltreider SA. Orbital lipogranulomatous inflammation harboring Mycobacterium abscessus. Ophthalmic Plast Reconstr Surg 2001;17:374-80.  Back to cited text no. 3
    


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