Delayed-onset postoperative endophthalmitis secondary to Exophiala

Jose Alberto Quintero-Estades, Scott Walter, Felipe Valenzuela, Guillermo Amescua

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Exophiala is a genus of slow-growing, melanin-producing, saprophytic fungi most commonly found in soil, faeces and decaying plant matter. It is an unusual fungal pathogen capable of causing a variety of ophthalmic manifestations, including keratitis, scleritis and endophthalmitis. In this report, we present a rare case of delayed-onset postoperative endophthalmitis confined to the anterior segment, secondary to Exophiala species. Previous reported cases of delayedonset postoperative endophthalmitis have been treated medically, with suboptimal outcomes. Our experience supports the use of anterior segment surgery to clear the nidus of disease combined with intravitreal voriconazole to prevent recurrence of the infection.

Original languageEnglish (US)
JournalBMJ case reports
StatePublished - Feb 17 2015

ASJC Scopus subject areas

  • Medicine(all)


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