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.
Original language | English (US) |
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Pages (from-to) | 674-676 |
Number of pages | 3 |
Journal | Indian journal of ophthalmology |
Volume | 64 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2016 |
Keywords
- Bipolaris
- Pseudomonas
- infectious scleritis
- treatment
ASJC Scopus subject areas
- Ophthalmology