Abstract

82 year old male, who had cataract surgery outside 5 months ago, presented with redness pain , superior crescentic stromal infiltrate &thinning, 2mm perforated corneal ulcer, exudates over IOL, 3mm hypopyon in left eye post trauma. PL+PR+vision. B scan revealed moderate reflective dot echoes in the vitreous cavity. AC/ vitreous tap was positive for fungal filaments. A provisional diagnosis of fungal endophthalmitis was made. Topical ,oral anti fungal medications were started. Intravitreal antibiotics , voriconazole injections were given, IOL was explanted via sclera corneal tunnel and BCL glue was applied. Intra vitreal injections were repeated on follow up visits. The patient showed improvement in clinical signs and symptoms in the follow up visits with decrease in corneal stromal infiltrate, and resolution of echoes in B scan. Patient is posted for theraupetic keratoplasty and subsequent scleral fxated IOL on a later date following successful management of fungal endophthalmitis.