Abstract
Purpose:
To evaluate cases and results of keratomycosis that developed after cataract surgery.
Setting:
Hospital de Guipúzcoa, San Sebastián, Spain.
Methods:
This retrospective study comprised 8 patients who developed keratomycosis soon after cataract surgery.
Results:
Culture analysis revealed 7 cases of Aspergillus fumigatus and 1 of Aspergillus flavus. After medical treatment with antifungal agents, 6 cases resolved and 2 required evisceration.
Conclusions:
The presence of fungi in corneal ulcers that develop after cataract surgery should be considered. Initiation of early treatment determines the prognosis. Among the therapeutic options, collagen shields soaked in amphotericin B may be effective.
Publication types
-
Case Reports
-
Comparative Study
-
Evaluation Study
MeSH terms
-
Aged
-
Aged, 80 and over
-
Antifungal Agents / administration & dosage
-
Aspergillosis / etiology*
-
Aspergillosis / microbiology
-
Aspergillosis / therapy
-
Aspergillus flavus / isolation & purification
-
Aspergillus fumigatus / isolation & purification
-
Cataract Extraction / adverse effects*
-
Cornea / microbiology
-
Corneal Ulcer / microbiology*
-
Corneal Ulcer / therapy
-
Eye Evisceration
-
Eye Infections, Fungal / etiology*
-
Eye Infections, Fungal / microbiology
-
Eye Infections, Fungal / therapy
-
Female
-
Humans
-
Male
-
Middle Aged
-
Ophthalmic Solutions
-
Retrospective Studies
-
Surgical Wound Infection / microbiology*
-
Surgical Wound Infection / therapy
Substances
-
Antifungal Agents
-
Ophthalmic Solutions