BRIEF COMMUNICATION |
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Year : 2016 | Volume
: 64
| Issue : 9 | Page : 674-676 |
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Infectious Pseudomonas and Bipolaris scleritis following history of pterygium surgery
Ashkan M Abbey, Nisha V Shah, Richard K Forster, Leejee H Suh
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA
Correspondence Address:
Dr. Leejee H Suh Department of Cornea and External Diseases, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17th Street, Miami, FL 33136 USA
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/0301-4738.194330
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We report an interesting case of infectious scleritis from coinfection of Pseudomonas aeruginosa and Bipolaris with no corneal infiltrate. A healthy 60-year-old man with a history of infectious scleritis following pterygium excision presented with purulent material growing P. aeruginosa and 1+ colonies of Bipolaris species of fungus. Broad spectrum treatment was initiated with hourly topical moxifloxacin, fortified tobramycin, and natamycin along with a subconjunctival injection of voriconazole and topical cyclosporine, with PO ketoconazole. After 10 weeks of aggressive empiric treatment, the patient's symptoms had resolved, and his vision returned to baseline although a scleral patch graft was utilized to stabilize scleral thinning. |
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