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Japanese

A case of late-onset postoperative endophthalmitis with diagnostic and therapeutic difficulties Tomoichi Saito 1 , Miwa Saeki 1 , Yasunori Nagase 2 , Masahiro Suami 1 , Shinichi Aoshima 2 , Kenro Koide 1 , Yoshihiro Hotta 1 1Dept of Ophthalmol,Hamamatsu Univ Sch of Med 2Dept of Ophthalmol,Iwata City Gen Hosp pp.1181-1186
Published Date 2009/7/15
DOI https://doi.org/10.11477/mf.1410102805
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Abstract. Purpose:To report a case of late-onset endophthalmitis 6 months after cataract surgery. Case:80-year-old female underwent left cataract surgery. 6 month later,her left eye showed inflammation in anterior chamber. She was referred to a general hospital. A white mass was presented under the intraocular lens with fibrin and hypopyon. The inflammation was improved by antibiotics and corticosteroids,but worsened when the dose of corticosteroid was reduced. White fluffy exdates was appeared and spread on the intraocular lens. Antifungal agents were not enough to treat effectively. Removal of the intraocular lens,the lens capsule,vitrectomy and irrigation with antifungal drugs were taken in our hospital. After two surgeries,her visual acuity is 20/20. Conclusion:Fungal organism was fined pathologically,suggesting that this case was fungal endophthalmitis. Removal of the intraocular lens,the lens capsule,and irrigation with antifungal drugs were effective.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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