Endogenous Aspergillus endophthalmitis in drug abusers
B. H. Doft, J. G. Clarkson, G. Rebell and R. K. Forster
One of two cases of endogenous Aspergillus endophthalmitis in abusers of
intravenously administered drugs was treated successfully by subtotal pars
plana vitrectomy; amphotericin B administered by intravitreal, periocular,
and systemic routes; and flucytosine administered systemically. Aspergillus
sp should be considered a possible pathogenic organism in drug abusers with
endogenous endophthalmitis. An aggressive diagnostic and therapeutic
approach may result in preservation of useful vision.
