Abstract：
PURPOSE:To report a case of Candida albicans keratitis after Descemet stripping with automated endothelial keratoplasty (DSAEK) due to fungal contamination of the donor cornea. METHODS:Case report. RESULTS:A 73-year-old woman underwent phacoemulsification with intraocular lens (IOL) implantation and DSAEK with 1 week difference. Ten days after DSAEK surgery, the culture of the donor corneoscleral rim revealed Candida albicans contamination and a small whitish infiltrate was noted within the interface. Despite conservative treatment with oral and systemic voriconazole, the infection was present outside the interface and inside the anterior chamber. Hot penetrating keratoplasty (PKP) was performed and the infection was eradicated. However, due to uncontrolled high intraocular pressure, a new PKP had to be performed, the IOL was removed, and an Ahmed valve was implanted (by pars plana vitrectomy). The anterior cap of the same donor cornea was used to perform a tectonic superficial anterior lamellar keratoplasty and the recipient did not have any problem related to fungal infection. CONCLUSIONS:The diagnosis of fungal keratitis should be taken into account once a small infiltrate is seen in the interface of any kind of lamellar keratoplasty. It is not clear whether it is better to treat it conservatively or aggressively.
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
Villarrubia A,Cano-Ortiz Adoi
10.5301/ejo.5000499subject
Has Abstractpub_date
2014-11-01 00:00:00pages
964-7issue
6eissn
1120-6721issn
1724-6016pii
D87B3889-3663-4C95-9A0D-18D504BA83CBjournal_volume
24pub_type
杂志文章abstract：:Idiopathic macular holes have long been considered to be a stable, untreatable condition with little or no chance of spontaneous visual improvement. Within the last few years, surgical intervention has been developed for the management of idiopathic Stage 3 and Stage 4 holes. With pars plana vitrectomy surgery, at lea...
journal_title：European journal of ophthalmology
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 00:00:00
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journal_title：European journal of ophthalmology
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journal_title：European journal of ophthalmology
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journal_title：European journal of ophthalmology
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