Peribulbar fungal abscess and endophthalmitis following posterior subtenon injection of triamcinolone acetonide

Scedosporium apiospermum endopthalmitis treated early with intravitreous voriconazole results in recovery of vision

“…apiospermum endopthalmitis in a diabetic patient that responded favorably to voriconazole with full restoration of visual acuity. To our knowledge, this is the third reported case of successful treatment outcome for endogenous endophthalmitis due to this fungal species [5, 11]. Our case is unique in that voriconazole combined with early surgical intervention led to a favorable outcome.…”

“…By this time, extensive vitritis with opacities, pale optic disc, periphlebitis, serous detachment of the macula, retinal hemorrhages, and a whitish subretinal peripheral mass were seen. Following a vitrectomy and irrigation with voriconazole, vision was restored [11]. …”

Eyelid Mycetoma Masquerading as Sebaceous Carcinoma

“…8 Other clinical presentations include scleritis, endophthalmitis, and orbital infections. 9,10 The color of the lesion in this case is probably due to the color of the microorganism (reported as yellow ulcers in skin lesions 4 ) rather than a coexistent chalazion because no lipogranulomas were seen in the biopsy material.…”

Post-traumatic Endophthalmitis Secondary to Keratomycosis Caused by Scedosporium apiospermum

“…Ikewaki et al 2 have reported a case of peribulbar fungal abscess and endophthalmitis due to S. apiospermum following posterior subtenon injection of traimcinolone acetonide. The patient responded well to treatment and there was no recurrence of the disease at 6 months follow-up.…”

“…There have been few reports in which the patients have done well with prompt antifungal theraphy. 2,3 However, Leck et al 4 and Ksiazek et al 5 have reported poor outcomes even after instituting prompt anti-fungal therapy. To conclude, S. apiospermum is a rare cause of endophthalmitis with poor outcomes.…”