Open AccessInfectious Pseudomonas and Bipolaris scleritis following history of pterygium surgery
Author(s) -
Ashkan M. Abbey,
Nikhil Shah,
Richard K. Forster,
Leejee H. Suh
Publication year - 2016
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.194330
Subject(s) - medicine , scleritis , moxifloxacin , voriconazole , tobramycin , surgery , pseudomonas aeruginosa , bipolaris , pterygium , natamycin , dermatology , ophthalmology , antibiotics , antifungal , gentamicin , microbiology and biotechnology , pathology , genetics , botany , uveitis , biology , bacteria
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.