Aspergillus Endophthalmitis in One Eye Subsequent to Bilateral Anterior Chamber Phakic Intraocular Lens Implantation

PURPOSE: To present a case of unilateral Aspergillus endophthalmitis after bilateral anterior chamber phakic intraocular lens (IOL) implantation in a 26-year-old myopic patient. METHODS: Three days after bilateral phakic IOL implantation, the patient presented with complaints of pain and low vision in the left eye and was treated for uveitis. Four weeks later, the patient presented with complaints of pain and decreased vision. RESULTS: Culture results of the anterior chamber and IOL specimens were positive for Aspergillus. Anterior chamber washing, membrane removal, anterior chamber phakic IOL removal, lensectomy, and anterior vitrectomy along with administration of topical, systemic, and antifungal drugs and intracameral tissue plasminogen activator improved the patient's corrected distance visual acuity to 20/40 with +6.00 -2.00 x 130 degrees. CONCLUSIONS: Although ocular inflammation occurring after IOL implantation responds to corticosteroids, intraocular infections should always be taken into consideration to prevent severe ocular morbidity. [J Refract Surg. 2012; 28(5): 363-365.] doi: 10.3928/1081597X-20120306-01