From the Charles Retina Institute, Memphis, Tennessee, USA.
J Cataract Refract Surg. 2013 Oct;39(10):1609-10. doi: 10.1016/j.jcrs.2013.07.034. Epub 2013 Aug 20.
Seven weeks after uneventful cataract extraction with intraocular lens (IOL) implantation, a 64-year-old man presented to his cataract surgeon with decreased vision and photophobia. The subacute presentation with anterior uveitis prompted initial therapy with topical and periocular glucocorticoids. One month later, the patient presented to the vitreoretinal service with counting fingers visual acuity, prominent anterior chamber reaction, a 2.5 mm hypopyon, and inflammatory deposits over the IOL. Cultures grew Rhizoctonia solani. The inflammation was successfully treated with pars plana vitrectomy, IOL explantation, and intravitreal voriconazole. Rhizoctonia should be included in the differential diagnosis of subacute exogenous endophthalmitis, especially in the context of fibrillar white IOL plaques.
No author has a financial or proprietary interest in any material or method mentioned.
译文：
患者为 64 岁男性，在白内障超声乳化吸除联合人工晶状体（IOL）植入术后 7 周，因视力下降和畏光至其白内障手术医生处就诊。亚急性前葡萄膜炎表现伴眼前段炎症促使初始给予局部和眼周糖皮质激素治疗。1 个月后，患者因眼前手动视力、明显的前房炎症反应、2.5mm 前房积脓和 IOL 上的炎性沉积物至玻璃体视网膜科就诊。培养出茄病镰刀菌。通过玻璃体切除术、IOL 摘除术和玻璃体内伏立康唑注射成功治疗了炎症。当存在纤维状白色 IOL 斑块时，应将茄病镰刀菌纳入亚急性外源性眼内炎的鉴别诊断中。
披露：
没有作者在提到的任何材料或方法中有财务或所有权利益。
