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Chronic vitreous haemorrhage masking fungal endophthalmitis in an open globe injury

ASHISH GEORGE KURUVILLA

Abstract


Fungal endophthalmitis is a dreaded complication of open globe injury. Warning clues such as progressive  decrease in vision and worsening fundus glow may not be present in a patient with persisting vitreous haemorrhage, thereby delaying prompt treatment. Relative afferent pupillary defect may be absent for prolonged periods of time. We  report a case of an open globe injury with metal causing low grade fungal endophthalmitis which mimicked post-operative uveitis. Metal injury causing fungal endophthalmitis must be suspected in non-resolving uveitis in post-trauma patients who may initially respond to steroids alone.


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References


A Gupta, R Srinivasan, S Kaliaperumal and I Saha Post traumatic fungal endophthalmitis- a prospective study. Eye(2008) 22, 13–17

Kresloff MS, Castellarin AA, Zarbin MA. Endophthalmitis. Surv Ophthalmol 1998;43:193–224.

Hughes DS, Hill RJ. Infectious endophthalmitis after cataract surgery. Br J Ophthalmol 1994;78:227–232

Arunaloke Chakrabarti, MD, M. R. Shivaprakash, MD, Ramandeep Singh, MS, Bansidhar Tarai, MD, Varghese K. George, Phd, Bashir A. Fomda, MD, Amod Gupta, MSFungal Endophthalmitis Fourteen Years’ Experience From a Center in India Retina. 2008 Nov-Dec;28(10):1400-7

Asheesh Tewari, MD, Enrique Garcia-Valenzuela, MD, PhD, and Dean Eliott, MD. Vitreous Hemorrhage as the Initial Presentation of Postoperative Endophthalmitis. American Journal of Ophthalmology Volume 134, Issue 2, August 2002, Pages 274-275

Pieramici D, Sternberg P, Aaberg TM, et al. A system for classifying mechanical injuries of the eye (globe). Am JOphthalmol 1997;123:820–831.

Bohigian GM, Olk RJ. Factors associated with a poor visual result in endophthalmitis. Am J Ophthalmol 1986;101:332–334.

Thompson WS, Rubsamen PE, Flynn HW Jr, Schiffman J,Cousins SW. Endopthalmitis after penetrating trauma. Risk factors and visual acuity outcomes. Ophthalmology 1995;102:1696–1701.

Essex RW, Yi Q, Charles PG, Allen PJ Post-traumatic endophthalmitis. . Ophthalmology. 2004 Nov; 111:2015-22.

Anand AR, Therese KL, Madhavan HN. Spectrum of etiological agents of postoperative endophthalmitis and antibiotic susceptibility of bacterial isolates. Indian J Ophthalmol 2000; 48:123–128

Boldt HC, Pulido JS, Blodi CF, Folk JC, Weingeist TA. Rural endophthalmitis. Ophthalmology 1989;96:1722–1726.

Majji AB, Jalali S, Das T, Gopinathan U. Role of intravitreal dexamethasone in exogenous fungal endophthalmitis. Eye 1999;13:660–665.

Kristie K. Shappell, DVM, MS, MD; Karen M. Gehrs, MD; Ronald V. Keech, MD; Thomas C. Cannon, MD; Robert Folberg, MD Meningococcemia With Vitreous Opacities: Endophthalmitis or Vitreous Hemorrhage? Arch Ophthalmol. 1999;117:268-269


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