First Reported Case of Donor Related Candida Endophthalmitis after Descemet Membrane Endothelial Keratoplasty
Matthew Thompson1, *, David Carli2
Identifiers and Pagination:Year: 2017
First Page: 117
Last Page: 121
Publisher ID: TOOPHTJ-11-117
Article History:Received Date: 03/01/2017
Revision Received Date: 13/02/2017
Acceptance Date: 04/04/2017
Electronic publication date: 19/06/2017
Collection year: 2017
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
To report the first case of Candida donor to host transmission following descemet membrane endothelial keratoplasty (DMEK)
A retrospective case report.
A patient underwent uneventful DMEK. Following surgery the donor rim was culture positive for Candida. The patient developed fungal endophthalmitis that was treated medically with multiple injections of voriconazole and amphotericin. Medical treatment was unable to clear the infection and removal of the donor material was required. Following removal the infection subsided.
Candida interface keratitis and endophthalmitis can occur following DMEK and may be difficult to treat medically. Early removal of the donor material should be considered.