Curvularia infection presenting as recurrent conjunctival erosion overlying a scleral-fixated intraocular lens suture

Sruthi Arepalli; Jeffrey Goshe; Aleksandra Rachitskaya

doi:10.1016/j.ajoc.2022.101605

Curvularia infection presenting as recurrent conjunctival erosion overlying a scleral-fixated intraocular lens suture

Am J Ophthalmol Case Rep. 2022 Jun 15:27:101605. doi: 10.1016/j.ajoc.2022.101605. eCollection 2022 Sep.

Authors

Sruthi Arepalli^{1

2}, Jeffrey Goshe¹, Aleksandra Rachitskaya¹

Affiliations

¹ Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
² Tennessee Retina Associates, Nashville, TN, USA.

Abstract

Purpose: To describe a case of an indolent, chronic Curvularia infection after a ruptured globe injury from an intraocular metallic foreign body in a 38-year old male. Following globe repair and vitrectomy, the patient underwent a sutured scleral-fixated lens. The patient subsequently presented with recurrent painless conjunctival erosion associated with small, pigmented skip lesions of the exposed suture.

Observation: Indolent, chronic Curvularia infections can present with subtle signs, including small areas of suture exposure and pigmentation as well as and small ciliary body collections.

Conclusion: Recurrent conjunctival erosion in cases of secondary sutured scleral fixated intraocular lenses should prompt evaluation for possible infectious etiology.

Keywords: Curvularia; Fungal; Scleral- fixated intraocular lens.

Publication types

Case Reports