|Year : 2022 | Volume
| Issue : 1 | Page : 336
Evisceration - Not an epilogue!
Venugopal Anitha1, Meenakshi Ravindran2, V Maneksha3
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 Publication||07-Jan-2022|
Dr. Venugopal Anitha
Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli, Tamil Nadu - 627 001
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Anitha V, Ravindran M, Maneksha V. Evisceration - Not an epilogue!. Indian J Ophthalmol Case Rep 2022;2:336
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, its high resistance to antifungal therapy, or the harboring of the fungus in the conjunctival wound during evisceration may lead to recurrences even after the procedure. 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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
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