Paecilomyces lilacinus-induced scleritis following bleb-associated endophthalmitis after trabeculectomy

Akiko Narita, Jiro Seguchi, Fumio Shiraga

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Paecilomyces lilacinns (P. lilacinns) is a rare cause of fungal scleritis. We herein report a case of P. lilacinus-mduced scleritis following bleb-associated endophthalmitis after trabeculectomy that was successfully treated with surgical excision of the affected sclera in combination with antifungal medication. An 85-year-old female underwent trabeculectomy of the left eye. A dellen formed in the corneal periphery due to limbal elevation of the filtering bleb and progressed to an infectious corneal ulcer, leading to blebitis. Eight days after the onset of blebitis, the patient was diagnosed with endophthalmitis, which resolved after vitrectomy. The growth of P. lilacinus was identified on swabs of the conjunctiva and the corneal specimen. Scleritis developed after the resolution of the endophthalmitis, and an early excision of the affected sclera, in addition to antifungal medication, resolved it completely. However, the scleritis recurred in a different region of the left eye. After 7 months of antifungal medication, the left eye showed no residual infection. When treating P. lilacinus-mduced scleritis, surgical excision of the affected sclera has been shown to be an effective treatment strategy. Nevertheless, it is possible that the infection may recur in another part of the eyeball after the complete resolution of the primary lesion.

Original languageEnglish
Pages (from-to)313-318
Number of pages6
JournalActa Medica Okayama
Volume69
Issue number5
Publication statusPublished - 2015

Fingerprint

Paecilomyces
Scleritis
Trabeculectomy
Endophthalmitis
Blister
Sclera
Corneal Ulcer
Conjunctiva
Vitrectomy
Infection
Growth

Keywords

  • Paecilomyces lilacinus
  • Scleritis
  • Trabeculectomy

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Paecilomyces lilacinus-induced scleritis following bleb-associated endophthalmitis after trabeculectomy. / Narita, Akiko; Seguchi, Jiro; Shiraga, Fumio.

In: Acta Medica Okayama, Vol. 69, No. 5, 2015, p. 313-318.

Research output: Contribution to journalArticle

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