Infectious Pseudomonas and Bipolaris scleritis following history of pterygium surgery

Ashkan Abbey, Nisha Shah, Richard Forster, Leejee Suh

Research output: Contribution to journalArticle

2 Scopus citations

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 languageEnglish (US)
Pages (from-to)674-676
Number of pages3
JournalIndian Journal of Ophthalmology
Volume64
Issue number9
DOIs
StatePublished - Sep 1 2016

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Keywords

  • Bipolaris
  • infectious scleritis
  • Pseudomonas
  • treatment

ASJC Scopus subject areas

  • Ophthalmology

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