1.
Indian J Ophthalmol
;
2016 Sept; 64(9): 674-676
Article
in English
| IMSEAR
| ID: sea-181243
ABSTRACT
We report an interesting case of infectious scleritis from coinfection of Pseudomonas aeruginosa and Bipolaris with no corneal infiltrate. A healthy 60‑year‑old man with a history of infectious scleritis following pterygium excision presented with purulent material growing P. aeruginosa and 1+ colonies of Bipolaris species of fungus. Broad spectrum treatment was initiated with hourly topical moxifloxacin, fortified tobramycin, and natamycin along with a subconjunctival injection of voriconazole and topical cyclosporine, with PO ketoconazole. After 10 weeks of aggressive empiric treatment, the patient’s symptoms had resolved, and his vision returned to baseline although a scleral patch graft was utilized to stabilize scleral thinning.