Delayed-onset, bleb-associated endophthalmitis caused by Lecythophora mutabilis

Ingrid U. Scott, Vanessa Cruz-Villegas, Harry W. Flynn, Darlene Miller

Research output: Contribution to journalArticle

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Abstract

Purpose To report delayed-onset, bleb-associated endophthalmitis caused by Lecythophora mutabilis. Design Interventional case report. Methods Description of an otherwise healthy woman who developed delayed-onset fungal endophthalmitis associated with a preexisting filtering bleb. Results A 57-year-old woman who underwent trabeculectomy with Mitomycin C in her left eye 8 years earlier presented with a 10-day history of pain and decreased vision in her left eye. She underwent anterior chamber and vitreous taps and injection of intraocular antibiotics. Cultures grew the mold Lecythophora mutabilis. The patient underwent treatment with intraocular and systemic antifungal agents, three pars plana vitrectomies, partial iridectomy, and cryopexy to the bleb and angle structures. Four months after her last treatment, her left eye shows no residual infection, and vision corrects to 20/80. Conclusion Bleb-associated endophthalmitis caused by L. mutabilis is resistant to amphotericin B but responsive to intravitreal and systemic voriconazole together with pars plana vitrectomy, iridectomy, and cryopexy to the bleb and angle structures.

Original languageEnglish (US)
Pages (from-to)583-585
Number of pages3
JournalAmerican journal of ophthalmology
Volume137
Issue number3
DOIs
StatePublished - Mar 1 2004

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ASJC Scopus subject areas

  • Ophthalmology

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