Candida pelliculosa cluster endophthalmitis: clinical profile and surgical outcomes in twelve eyes - PubMed
4 hours ago
- #Cataract surgery complications
- #Candida pelliculosa
- #Endophthalmitis
- Study describes clinical features and surgical outcomes of Candida pelliculosa cluster endophthalmitis post-cataract surgery.
- Twelve eyes of ten patients developed endophthalmitis after uncomplicated phacoemulsification with IOL implantation.
- All patients underwent core vitrectomy, IOL explantation, and intravitreal injections of vancomycin, ceftazidime, and voriconazole.
- Candida pelliculosa was isolated from all explanted IOL-bag complexes; vitreous cultures were negative.
- Mean interval from cataract surgery to presentation was 28 days with symptoms like pain, redness, and mild vision loss.
- Mean presenting BCVA was 20/40 (0.3 LogMAR).
- Post-vitrectomy BCVA was 20/60 (0.48 LogMAR).
- Complications included cystoid macular edema (5 eyes), sub-Tenon triamcinolone (1 eye), and epiretinal membranes (4 eyes).
- Seven eyes underwent secondary scleral-fixated IOL implantation after a mean of 5.2 months, achieving final BCVA of 20/32.
- Early vitrectomy with IOL-bag explantation is crucial for infection control and favorable visual recovery.