Deep keratomycosis following ahmed glaucoma valve implantation
Purpose: To report an unusual case of deep keratomycosis after Ahmed glaucoma valve (AGV) implantation. Methods: A 70-year-old male presented with a deep corneal stromal infiltrate, without epithelial involvement, 3 weeks after a successful AGV implantation for neovascular glaucoma. Microscopic exam...
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| Veröffentlicht in: | Iranian journal of ophthalmology 2020-07, Vol.32 (3), p.302-304 |
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| container_title | Iranian journal of ophthalmology |
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| creator | Mansoori, Tarannum Srirampur, Arjun Agraharam, Satish Reddy, Ashok |
| description | Purpose: To report an unusual case of deep keratomycosis after Ahmed glaucoma valve (AGV) implantation.
Methods: A 70-year-old male presented with a deep corneal stromal infiltrate, without epithelial involvement, 3 weeks after a successful AGV implantation for neovascular glaucoma. Microscopic examination of the anterior chamber exudates revealed fungal filaments on smear, and white fungal colonies were observed on the Blood agar and Sabouraud dextrose agar. The fungus was identified as Aspergillus flavus.
Results: The patient was treated with oral and topical 1% voriconazole. Ten weeks after the treatment, the corneal infiltrate resolved, resulting in a vascularized scar.
Conclusion: As recalcitrant keratomycosis of the deep corneal layers may occur after AGV implantation, early identification and prompt treatment may help to achieve complete resolution of the infection and salvage the eye. |
| doi_str_mv | 10.4103/JOCO.JOCO_142_20 |
| format | Article |
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Methods: A 70-year-old male presented with a deep corneal stromal infiltrate, without epithelial involvement, 3 weeks after a successful AGV implantation for neovascular glaucoma. Microscopic examination of the anterior chamber exudates revealed fungal filaments on smear, and white fungal colonies were observed on the Blood agar and Sabouraud dextrose agar. The fungus was identified as Aspergillus flavus.
Results: The patient was treated with oral and topical 1% voriconazole. Ten weeks after the treatment, the corneal infiltrate resolved, resulting in a vascularized scar.
Conclusion: As recalcitrant keratomycosis of the deep corneal layers may occur after AGV implantation, early identification and prompt treatment may help to achieve complete resolution of the infection and salvage the eye.</description><identifier>ISSN: 2452-2325</identifier><identifier>EISSN: 2452-2325</identifier><identifier>DOI: 10.4103/JOCO.JOCO_142_20</identifier><identifier>PMID: 32775809</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Antifungal agents ; Care and treatment ; Case Report ; Cornea ; Fungi ; Glaucoma ; Valves</subject><ispartof>Iranian journal of ophthalmology, 2020-07, Vol.32 (3), p.302-304</ispartof><rights>Copyright: © 2020 Journal of Current Ophthalmology.</rights><rights>COPYRIGHT 2020 Medknow Publications and Media Pvt. Ltd.</rights><rights>2020. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2020 Journal of Current Ophthalmology 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c475y-cb4e9d33108c3be2b8dddbaa1f39f87b7a63ecaff959cf6d4b4203faf42606c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7382512/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7382512/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27458,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32775809$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mansoori, Tarannum</creatorcontrib><creatorcontrib>Srirampur, Arjun</creatorcontrib><creatorcontrib>Agraharam, Satish</creatorcontrib><creatorcontrib>Reddy, Ashok</creatorcontrib><title>Deep keratomycosis following ahmed glaucoma valve implantation</title><title>Iranian journal of ophthalmology</title><addtitle>J Curr Ophthalmol</addtitle><description>Purpose: To report an unusual case of deep keratomycosis after Ahmed glaucoma valve (AGV) implantation.
Methods: A 70-year-old male presented with a deep corneal stromal infiltrate, without epithelial involvement, 3 weeks after a successful AGV implantation for neovascular glaucoma. Microscopic examination of the anterior chamber exudates revealed fungal filaments on smear, and white fungal colonies were observed on the Blood agar and Sabouraud dextrose agar. The fungus was identified as Aspergillus flavus.
Results: The patient was treated with oral and topical 1% voriconazole. Ten weeks after the treatment, the corneal infiltrate resolved, resulting in a vascularized scar.
Conclusion: As recalcitrant keratomycosis of the deep corneal layers may occur after AGV implantation, early identification and prompt treatment may help to achieve complete resolution of the infection and salvage the eye.</description><subject>Antifungal agents</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Cornea</subject><subject>Fungi</subject><subject>Glaucoma</subject><subject>Valves</subject><issn>2452-2325</issn><issn>2452-2325</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtrGzEUhUVJaUKafVdloGs7es5jEwhO6yYEvGnXF41GchRrJFeasfG_rxzn4UCLQLpI3zkccRD6QvCUE8wu7xazxXS_AeEUKP6AzigXdEIZFSdH8ym6SOkRY0xKQQjHn9Apo1UlatycoasbrdfFSkc5hH6nQrKpMMG5sLV-WciHXnfF0slRhV4WG-k2urD92kk_yMEG_xl9NNIlffF8nqPfP77_mv2c3C_mt7Pr-4nildhNVMt10zFGcK1Yq2lbd13XSkkMa0xdtZUsmVbSmEY0ypQdbznFzEjDaYlLRdg5ujr4rsc2R1LaD1E6WEfby7iDIC28f_H2AZZhAxWrqSA0G3x7Nojhz6jTAI9hjD5nBioYLfdM-UYtpdNgvQnZTPU2KbguacME5k_U9B9UXp3urQpeG5vv3wnwQaBiSClq8xqcYNh3CU81HnWZJV-PP_wqeGkuA_MDsA1u0DGt3LjVETK78mH7X2NgmMK-c3jpnP0FR9Sz3A</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Mansoori, Tarannum</creator><creator>Srirampur, Arjun</creator><creator>Agraharam, Satish</creator><creator>Reddy, Ashok</creator><general>Wolters Kluwer India Pvt. 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Methods: A 70-year-old male presented with a deep corneal stromal infiltrate, without epithelial involvement, 3 weeks after a successful AGV implantation for neovascular glaucoma. Microscopic examination of the anterior chamber exudates revealed fungal filaments on smear, and white fungal colonies were observed on the Blood agar and Sabouraud dextrose agar. The fungus was identified as Aspergillus flavus.
Results: The patient was treated with oral and topical 1% voriconazole. Ten weeks after the treatment, the corneal infiltrate resolved, resulting in a vascularized scar.
Conclusion: As recalcitrant keratomycosis of the deep corneal layers may occur after AGV implantation, early identification and prompt treatment may help to achieve complete resolution of the infection and salvage the eye.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>32775809</pmid><doi>10.4103/JOCO.JOCO_142_20</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; PubMed Central Open Access; Medknow Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Antifungal agents Care and treatment Case Report Cornea Fungi Glaucoma Valves |
| title | Deep keratomycosis following ahmed glaucoma valve implantation |
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