Decisive role of histopathology of lens capsule in the diagnosis of chronic fungal postoperative endophthalmitis

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dc.creatorMathias Paulo Loredo e Silva
dc.creatorRodrigo Magno da Silva Oliveira
dc.creatorBruno Freitas Lage
dc.creatorClóvis Arcoverde Freitas
dc.creatorMoisés Salgado Pedrosa
dc.creatorMárcio Bittar Nehemy
dc.creatorDaniel Vítor de Vasconcelos Santos
dc.date.accessioned2023-12-05T20:35:13Z
dc.date.accessioned2025-09-08T23:56:15Z
dc.date.available2023-12-05T20:35:13Z
dc.date.issued2022
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s40942-022-00370-8
dc.identifier.issn2056-9920
dc.identifier.urihttps://hdl.handle.net/1843/61742
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Journal of Retina and Vitreous
dc.rightsAcesso Aberto
dc.subjectUveíte
dc.subjectInflamação
dc.subjectLentes Intraoculares
dc.subjectCatarata
dc.subjectFungos
dc.subjectEndoftalmite
dc.subject.otherChronic endophthalmitis
dc.subject.otherFungi
dc.subject.otherCataract surgery
dc.subject.otherIntraocular lens
dc.subject.otherIntraocular infammation
dc.subject.otherUveitis
dc.titleDecisive role of histopathology of lens capsule in the diagnosis of chronic fungal postoperative endophthalmitis
dc.typeArtigo de periódico
local.citation.epage4
local.citation.issue18
local.citation.spage1
local.citation.volume8
local.description.resumoWe report three cases of refractory chronic endophthalmitis after cataract surgery presenting to a referral center, and with repeated negative cultures. Initial treatment consisted of intravitreal and systemic antibiotics, with partial improvement. After subsequent worsening, pars plana vitrectomy, intraocular lens explantation and en bloc capsulectomy were performed. Histopathological examination revealed multiple filamentous fungal structures, sequestered between anterior/posterior lens capsule in all cases. Chronic postoperative fungal endophthalmitis may manifest with negative cultures possibly associated with sequestration of the microorganism into the capsular bag. Careful histopathological examination of lens capsule in these cases may be essential for a definite diagnosis.
local.identifier.orcidhttp://orcid.org/0000-0002-6747-2024
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE OFTALMOLOGIA E OTORRINOLARINGOLOGIA
local.publisher.departmentMEDICINA - FACULDADE DE MEDICINA
local.publisher.initialsUFMG
local.url.externahttps://journalretinavitreous.biomedcentral.com/articles/10.1186/s40942-022-00370-8

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