Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Jia-lin Wang
Indiana
Case Report
Endogenous Fungal Endophthalmitis Developing in a Myasthenia Gravis Individual Treated with High Dose Methylprednisolone
Author(s): Jia-lin Wang and Yu-ling LiuJia-lin Wang and Yu-ling Liu
Background: To report a successful treatment case of endogenous fungal endophthalmitis caused by corticosteroid impulse therapy and the cultures are always negative for fungi. Methods: Systemic antifungal treatment and full ophthalmic examination including B-scan ultrasonography, fundus photograph and indocyanine green angiography. Results: The visual acuity recovered from 0.2 to 0.8. B-scan ultrasonography revealed the largest irregular apophysis which disappeared finally. Both fundus photograph and indocyanine green angiography showed the chorioretinal lesions disappearing. Conclusion: Endogenous fungal endophthalmitis caused by corticosteroid impulse therapy is noteworthy and under this situation antifungal treatment should be considered even if the culture is negative for fungi... View More»
DOI:
10.4172/2155-9570.1000234