<em>Fusarium</em> Endophthalmitis Following Keratitis Associated With Contact Lenses

Abstract

&lt;P&gt;A recent outbreak of fungal keratitis associated with contact lens use has been reported. During the past 4 months, a total of 36 patients with &lt;I&gt;Fusarium&lt;/I&gt; keratitis have presented to one medical center. Two cases of &lt;I&gt;Fusarium&lt;/I&gt; endophthalmitis resulting from this series of fungal keratitis associated with soft contact lens wear are described. [&lt;CITE&gt;Ophthalmic Surg Lasers Imaging&lt;/CITE&gt; 2006;37:310-313.]&lt;/P&gt; &lt;H4&gt;AUTHORS&lt;/H4&gt; &lt;P&gt;From the Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida.&lt;/P&gt; &lt;P&gt;Accepted for publication May 19, 2006.&lt;/P&gt; &lt;P&gt;Supported in part by Research to Prevent Blindness, Inc., New York, New York.&lt;/P&gt; &lt;P&gt;Address reprint requests to Harry W. Flynn, Jr., MD, 900 NW 17th Street, Miami, FL 33136.&lt;/P&gt;

Risk factors for endophthalmitis requiring evisceration or enucleation

“…found that 3 (21.4%) out of 14 patients with corneal ulcer underwent evisceration or enucleation 8 . The risk factors for the progression from keratitis to endophthalmitis included: delayed diagnosis and treatment of microbial keratitis, the use of topical steroid, trauma, contact lens use and previous ocular surgical history 7 8 9 10 11 12 13 14 15 16 17 18 19 . In our study, 65.2% of corneal ulcer-related endophthalmitis required enucleation or evisceration which was higher than most previous reports.…”

Risk factors for endophthalmitis requiring evisceration or enucleation

“…found that 3 (21.4%) out of 14 patients with corneal ulcer underwent evisceration or enucleation 8 . The risk factors for the progression from keratitis to endophthalmitis included: delayed diagnosis and treatment of microbial keratitis, the use of topical steroid, trauma, contact lens use and previous ocular surgical history 7 8 9 10 11 12 13 14 15 16 17 18 19 . In our study, 65.2% of corneal ulcer-related endophthalmitis required enucleation or evisceration which was higher than most previous reports.…”

Successful salvage therapy of Fusarium endophthalmitis secondary to keratitis: an interventional case series

“……”

“……”

“……”

Bacterial and Fungal Endophthalmitis

“…A series from New Jersey reported a lower rate of fungal endophthalmitis (17%), but this reflects the much lower incidence of keratomycosis in colder, less humid climates (63). The risk of keratomycosis progressing to endophthalmitis varies, but one center reported that 6% of Fusarium keratitis cases seen during an outbreak developed endophthalmitis (64).…”

Risk factors for endophthalmitis requiring evisceration or enucleation

“…found that 3 (21.4%) out of 14 patients with corneal ulcer underwent evisceration or enucleation 8 . The risk factors for the progression from keratitis to endophthalmitis included: delayed diagnosis and treatment of microbial keratitis, the use of topical steroid, trauma, contact lens use and previous ocular surgical history 7 8 9 10 11 12 13 14 15 16 17 18 19 . In our study, 65.2% of corneal ulcer-related endophthalmitis required enucleation or evisceration which was higher than most previous reports.…”

Successful salvage therapy of Fusarium endophthalmitis secondary to keratitis: an interventional case series

“……”

“……”

“……”

Bacterial and Fungal Endophthalmitis

“…A series from New Jersey reported a lower rate of fungal endophthalmitis (17%), but this reflects the much lower incidence of keratomycosis in colder, less humid climates (63). The risk of keratomycosis progressing to endophthalmitis varies, but one center reported that 6% of Fusarium keratitis cases seen during an outbreak developed endophthalmitis (64).…”

Risk factors for endophthalmitis requiring evisceration or enucleation

“…found that 3 (21.4%) out of 14 patients with corneal ulcer underwent evisceration or enucleation 8 . The risk factors for the progression from keratitis to endophthalmitis included: delayed diagnosis and treatment of microbial keratitis, the use of topical steroid, trauma, contact lens use and previous ocular surgical history 7 8 9 10 11 12 13 14 15 16 17 18 19 . In our study, 65.2% of corneal ulcer-related endophthalmitis required enucleation or evisceration which was higher than most previous reports.…”

Successful salvage therapy of Fusarium endophthalmitis secondary to keratitis: an interventional case series

“……”

“……”

“……”

Bacterial and Fungal Endophthalmitis

“…A series from New Jersey reported a lower rate of fungal endophthalmitis (17%), but this reflects the much lower incidence of keratomycosis in colder, less humid climates (63). The risk of keratomycosis progressing to endophthalmitis varies, but one center reported that 6% of Fusarium keratitis cases seen during an outbreak developed endophthalmitis (64).…”