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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 480-482

Late onset endophthalmitis with rare fungus Exophiala dermatitidis


1 Phaco-Refractive Services, Rushabh Eye Hospital and Laser Centre, Mumbai, Maharashtra, India
2 Vitreo-Retina Services, Rushabh Eye Hospital and Laser Centre, Mumbai, Maharashtra, India
3 Comprehensive Ophthalmology Services, Rushabh Eye Hospital and Laser Centre, Mumbai, Maharashtra, India
4 P.D. Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Shreya J Shah
Rushabh Eye Hospital and Laser Centre, Mumbai - 400 071, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2280_21

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The authors report a case of a 64-year-old diabetic male patient with late-onset fulminant fungal endophthalmitis occurring 6 weeks following complicated cataract surgery. A pigmented, dimorphic fungus known as Exophiala dermatitidis was isolated from aqueous and vitreous samples of the patient. The patient underwent pars plana vitrectomy, followed by daily injections of intravitreal voriconazole, and eventually had marked improvement in the best-corrected visual acuity to 6/9. So far, eight cases of Exophiala endophthalmitis have been reported in the literature, of which six have had a poor visual outcome. This case report demonstrates a successful outcome in a case of E. dermatitidis endophthalmitis, tackled with an aggressive medical and surgical approach.


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