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Case Rep Ophthalmol Med. 2015;2015:249419. doi: 10.1155/2015/249419. Epub 2015 May 07.

Infected Baerveldt Glaucoma Drainage Device by Aspergillus niger.

Case reports in ophthalmological medicine

Nurul-Laila Salim, Yaakub Azhany, Zaidah Abdul Rahman, Roziawati Yusof, Ahmad Tajudin Liza-Sharmini, Spector

Affiliations

  1. Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia ; Hospital Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
  2. Department of Medical Microbiology & Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.

PMID: 26064735 PMCID: PMC4439503 DOI: 10.1155/2015/249419

Abstract

Fungal endophthalmitis is rare but may complicate glaucoma drainage device surgery. Management is challenging as the symptoms and signs may be subtle at initial presentation and the visual prognosis is usually poor due to its resistant nature to treatment. At present there is lesser experience with intravitreal injection of voriconazole as compared to Amphotericin B. We present a case of successfully treated Aspergillus endophthalmitis following Baerveldt glaucoma drainage device implantation with intravitreal and topical voriconazole.

References

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