ELEVEN cases of endogenous Aspergillus infection of the eye have been reported.1-11 In eight, the fungus was identified by histologic examination alone, supported in the other three by culture of Aspergillus from sputum,2 from pleural exudate at autopsy,9 and from a thoracotomy specimen during life as well as several organs at autopsy.11 Uveitis has also been reported in a patient with an Aspergillus abscess in the lung, but no pathologic examination of the eye was possible.12
This communication reports a case of intraocular aspergillosis following heart surgery in which uveitis was the presenting sign of endocarditis with septic embolism.
Report of a Case
This 40-year-old white woman underwent open-heart surgery June 10, 1966 at another hospital for replacement of her mitral valve, deformed by rheumatic heart disease, with a Starr-Edwards prosthesis. Postoperatively, she was maintained on anticoagulants warfarin sodium (Coumadin Sodium) and digoxin. She made
Darrell RW. Endogenous Aspergillus Uveitis Following Heart Surgery. Arch Ophthalmol. 1967;78(3):354-357. doi:10.1001/archopht.1967.00980030356017