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Arch Ophthalmol. 2001;119:916-919.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Paecilomyces lilacinus, an uncommon cause of exogenous endophthalmitis, presents a challenging management problem since the organism is usually resistant to amphotericin B, the most commonly employed intravitreal antifungal, and natamycin, a frequently employed topical antifungal. The organism is sensitive to miconazole nitrate, ketoconazole, and, in some cases, fluconazole. We report 4 cases of endophthalmitis caused by P lilacinus and discuss treatment options.

Report of Cases

Case 1

A 37-year-old man with hand motion vision in the left eye underwent penetrating keratoplasty, extracapsular cataract extraction, and posterior chamber intraocular lens implantation in the left eye 4 years after a bilateral ammonia chemical injury that resulted in persistent keratitis and corneal thinning. One day postkeratoplasty, he underwent wound leak repair. Examination 3 weeks later demonstrated a best-corrected visual acuity of 2/200 OS and a white flocculent mass on the cornea extending into the anterior chamber (Figure 1). After aqueous and vitreous specimens demonstrated filamentous . . . [Full Text of this Article]

Case 2

Case 3

Case 4

Comment

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