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Post-traumatic fungal endophthalmitis-a prospective study.

Post-traumatic fungal endophthalmitis-a prospective study. Research Abstract Details 

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  • Post-traumatic fungal endophthalmitis-a prospective study. Abstract Text:

    a guptaA Gupta,r srinivasanR Srinivasan,s kaliaperumalS Kaliaperumal,i sahaI Saha,a guptaA Gupta,r srinivasanR Srinivasan,s kaliaperumalS Kaliaperumal,i sahaI Saha,

    PurposeTo study the incidence, clinical presentation, and the response of anti-fungals in cases of fungal endophthalmitis following open globe injury.MethodsThis is a prospective study of eight cases of post-traumatic fungal endophthalmitis among 110 patients who presented to us with open globe injury between August 2003 and January 2005. Patients with panophthalmitis were eviscerated and rest received intravitreal amphotericin B. Pars plana vitrectomy along with intravitreal miconazole was given in patients with inadequate response to intravitreal amphotericin.ResultsTwo patients had panophthalmitis at the time of presentation and were eviscerated. Six different organisms were isolated from the culture of intraocular specimen of eight patients. The yield of vitreous aspirate was 87.5% and that of aqueous aspirate was 66.6%. Aspergillussp. and Fusariumsp. were isolated in 62.5% of cases. Minimum inhibitory concentration of amphotericin B and miconazole was less than 3 mug/ml for all organisms except for Paecilomyces lilacinusand Fusarium solani, respectively. In total, 37.5% of patient had final visual acuity of 20/400 or better.ConclusionsFungal endophthalmitis is a relatively rare complication of open globe injury. The final visual outcome after fungal endophthalmitis is dismal. Aspergillus fumigatuswas found to be the most virulent organism. All organisms were found to be sensitive to amphotericin B, except P. lilacinus, which was sensitive to miconazole. Repeated intravitreal injection may be required to control the infection. The virulence of the organism and the site of injury are the main determinants of final visual outcome.Eye (2008) 22, 13-17; doi:10.1038/sj.eye.6702463; published online 2 June 2006.

    Post-traumatic fungal endophthalmitis-a prospective study. Publishing Authors By Initials

    a guptaA Gupta,r srinivasanR Srinivasan,s kaliaperumalS Kaliaperumal,i sahaI Saha,a guptaA Gupta,r srinivasanR Srinivasan,s kaliaperumalS Kaliaperumal,i sahaI Saha,

    For similar abstracts research abstracts see: abstracts research

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    Post-traumatic fungal endophthalmitis-a prospective study. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Eye (London, England)

    VOLUME: 22

    Page Numbers: 13-7

    Journal Abbreviation:

    ISSN: 0950-222X

    DAY: 2

    MONTH: 06

    YEAR: 2006

    Post-traumatic fungal endophthalmitis-a prospective study. Information

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    LANGUAGE: eng

    NlmUniqueID: 8703986

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    Grant and Affiliation Information for Post-traumatic fungal endophthalmitis-a prospective study.

    AFFILIATION: 1Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Eye

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