case_images: PMC4933851_01
case_images: Ciliary injection, anterior chamber reaction with fibrin, and membrane formation (a and b). Hypopyon relapse (c and d).
case_images: CRIOPM2016-4593042.001.jpg
case_images: PMC4933851_01_CRIOPM2016-4593042.001.jpg
case_images: fig1
case_images: At this moment, the patient was referred to our practice (Figure 1).
case_images: Removal of pupillary membrane (a). Shaving of vitreous base (b). Removal of iris membrane remnants (c). Concluded surgery (d).
case_images: CRIOPM2016-4593042.002.jpg
case_images: PMC4933851_01_CRIOPM2016-4593042.002.jpg
case_images: fig2
case_images: 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).
case_images: Fusarium sp. stained with lactophenol blue solution.
case_images: CRIOPM2016-4593042.003.jpg
case_images: PMC4933851_01_CRIOPM2016-4593042.003.jpg
case_images: fig3
case_images: Five days after vitrectomy and intravitreal amphotericin B. Corneal edema, anterior chamber reaction, and conjunctival injection worsened.
case_images: CRIOPM2016-4593042.004.jpg
case_images: PMC4933851_01_CRIOPM2016-4593042.004.jpg
case_images: fig4
case_images: Due to the lack of improvement (Figure 4), intravitreal voriconazole (2.5 mug/0.1 mL) was administered.
case_images: After three months Artisan phakic IOL was implanted (a to c).
case_images: CRIOPM2016-4593042.005.jpg
case_images: PMC4933851_01_CRIOPM2016-4593042.005.jpg
case_images: fig5
case_images: Following this surgery, the patient obtained a best-corrected visual acuity 20/20 with a -0.25 SPH refraction (Figure 5).