Fungal endophthalmitis following penetrating ocular trauma

ABSTRACT

Fungal endophthalmitis following penetrating trauma is uncommon. When it does occur, it is usually associated with injury involving organic matter, as in the case presented here. An additional precipitating factor in this case was injudicious use of corticosteroids after the penetrating corneal laceration. Clinical features were typical of fungal endophthalmitis. Microscopic examination of stained vitreous specimens obtained at vitrectomy revealed yeast organisms. Treatment consisted of vitrectomy, intravitreal injection of amphotericin B, and oral ketoconazole. The treatment was successful and the patient's final visual acuity was 20/20