Fungal scleritis with exudative retinal detachment.

Abstract

PURPOSE:

To report a case of fungal scleritis associated with exudative retinal detachment.

DESIGN:

A rare case report.

METHODS:

Nonresolving fungal scleritis mimicking noninfective scleritis was treated with systemic and topical antifungals and low topical steroids after diagnosis was established on scleral scraping. Even after complete resolution of scleritis, exudative retinal detachment persisted.

RESULTS:

The patient was advised of a possible need to undergo vitreo retinal surgery if exudative retinal detachment persisted for more than a month after complete resolution of the scleritis component.

CONCLUSION:

Infective scleritis must be ruled out in cases of longstanding scleritis not responding to immunosuppressives.

• Authors: Swapnesh D Sawant, Jyotirmay Biswas
• Journal: Ocular immunology and inflammation (Ocul Immunol Inflamm) Vol. 18 Issue 6 Pg. 457-8 (Dec 2010) ISSN: 1744-5078 [Electronic] England
• PMID: 20846054 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antifungal Agents

Topics

• Abscess (microbiology, surgery)
• Administration, Topical
• Adult
• Antifungal Agents (administration & dosage)
• Aspergillosis
• Aspergillus flavus (isolation & purification)
• Drainage
• Exudates and Transudates (metabolism)
• Follow-Up Studies
• Humans
• Male
• Retinal Detachment (complications, metabolism)
• Sclera (microbiology)
• Scleral Diseases (microbiology, surgery)
• Scleritis (complications, microbiology, pathology)