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- Title
Microsporidial stromal keratitis and endophthalmitis in an immunocompetent patient.
- Authors
Sood, Arjun; Debiec, Matthew; Yeh, Steven; Grossniklaus, Hans; Randleman, J.
- Abstract
Purpose: The purpose of this study is to report a case of microsporidial endophthalmitis after penetrating keratoplasty in a healthy patient and discuss the management. Methods: This is a case report. Results: A 69-year-old healthy male underwent penetrating keratoplasty for corneal scar secondary to herpes stromal keratitis. He presented with features of acute graft rejection 3 years later. After failure of medical management, a repeat full thickness keratoplasty was performed. Pathologic examination of the corneal specimen showed microsporidia. The patient then developed a chronic endophthalmitis, and a vitreous tap and injection followed by pars plana vitrectomy were performed. Pathologic examination of tissue showed microsporidia. Conclusions: Microsporidia are being increasingly identified as the cause of stromal keratitis. This is the first report of microsporidial endophthalmitis in a patient without underlying systemic illness.
- Subjects
KERATITIS; INFLAMMATION; CORNEA surgery; ALLOIMMUNITY; VITRECTOMY
- Publication
Journal of Ophthalmic Inflammation & Infection, 2016, Vol 6, Issue 1, p1
- ISSN
1869-5760
- Publication type
Report
- DOI
10.1186/s12348-016-0099-7