PMC4933851_01
Ciliary injection, anterior chamber reaction with fibrin, and membrane formation (a and b). Hypopyon relapse (c and d).
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fig1
At this moment, the patient was referred to our practice (Figure 1).
Removal of pupillary membrane (a). Shaving of vitreous base (b). Removal of iris membrane remnants (c). Concluded surgery (d).
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fig2
Given the high suspicion for fungal endophthalmitis, IOL explantation with removal of the capsular bag, vitrectomy, and cultures were performed in addition to intravitreal injection of amphotericin B (5 mug/0.1 mL) (Figure 2).
Fusarium sp. stained with lactophenol blue solution.
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fig3
Five days after vitrectomy and intravitreal amphotericin B. Corneal edema, anterior chamber reaction, and conjunctival injection worsened.
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fig4
Due to the lack of improvement (Figure 4), intravitreal voriconazole (2.5 mug/0.1 mL) was administered.
After three months Artisan phakic IOL was implanted (a to c).
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fig5
Following this surgery, the patient obtained a best-corrected visual acuity 20/20 with a -0.25 SPH refraction (Figure 5).