Subconjunctival mycetoma after sub-Tenon's corticosteroid injection

Cornea. 2009 Sep;28(8):933-5. doi: 10.1097/ICO.0b013e3181930bb7.

Abstract

Purpose: To describe a case of a subconjunctival mycetoma that developed after a patient received a sub-Tenon's injection of triamcinolone acetonide.

Methods: Case report.

Results: A 76-year-old white male presented with a subconjunctival mass in the area of a previous posterior sub-Tenon's corticosteroid injection for wet age-related macular degeneration. Microbiologic and pathologic analysis of the mass revealed the causative organism to be the pigmented fungus Exophiala jeanselmei.

Conclusion: This is the first published case of an Exophiala-associated subconjunctival mycetoma.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antifungal Agents / therapeutic use
  • Conjunctiva
  • Conjunctival Diseases / microbiology*
  • Conjunctival Diseases / pathology
  • Conjunctival Diseases / surgery
  • Corticosterone / administration & dosage*
  • Corticosterone / adverse effects*
  • Exophiala*
  • Eye Enucleation
  • Humans
  • Injections
  • Macular Degeneration / drug therapy*
  • Male
  • Mycetoma / microbiology*
  • Mycetoma / pathology
  • Mycetoma / surgery
  • Mycoses / chemically induced
  • Mycoses / complications*
  • Mycoses / drug therapy
  • Mycoses / surgery
  • Postoperative Complications

Substances

  • Antifungal Agents
  • Corticosterone