Corneal chromoblastomycosis caused by Cladophialophora carrionii after cataract surgery.

Abstract:

:We describe a case of corneal chromoblastomycosis with Cladophialophora carrionii in a 69-year-old woman 4 weeks after clear corneal cataract surgery. The patient presented with right eye pain and decreased visual acuity of 20/100. Examination showed a deep posterior stromal keratitis accompanied by a dense fibrinous anterior chamber reaction. An aqueous tap was performed, and the patient was treated with topical, systemic, and intracameral antifungal and antibiotic agents. The infection was resistant to medical therapy and the course further complicated by secondary pupillary block glaucoma. After 10 days, a therapeutic penetrating keratoplasty was performed. The patient remained asymptomatic 20 months after the initial presentation, with corrected distance visual acuity restored to 20/40. To our knowledge, is the first reported case of corneal chromoblastomycosis with C carrionii. Early surgical treatment may be necessary to eradicate Cladophialophora species.

authors

Lari HB,Mirani N,Chu DS

doi

10.1016/j.jcrs.2011.03.007

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

963-6

issue

5

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(11)00325-7

journal_volume

37

pub_type

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