Alternaria alternata is a widespread, airborne hyphomycete living as a phytoparasite on leaves or vegetable fruits. This imperfect fungus possesses typical conidiospores. Its asthmogenic potential plays an important role as a releasing factor for bronchial asthma, but it is of little importance, causing ophthalmic diseases such as blepharitis, conjunctivitis, or keratomycosis.1 To our knowledge, fungal endophthalmitis caused by A alternata has not been previously described.
Report of a Case.
—A 69-year old diabetic woman underwent extracapsular cataract extraction in another institution with posterior chamber intraocular lens implantation in the left eye in August 1987. After surgery, visual acuity was 40/50 OS and 20/20 OD 3 years after extracapsular cataract extraction and intraocular lens implantation. Intraocular pressure was 16 mm Hg in both eyes. Two months later, slit-lamp examination disclosed 3+ cells, flare, fibrinous exudate, and a 1.5-mm hypopyon in the anterior chamber of the left eye. The patient had
Rummelt V, Ruprecht KW, Boltze HJ, Naumann GOH. Chronic Alternaria alternata Endophthalmitis Following Intraocular Lens Implantation. Arch Ophthalmol. 1991;109(2):178. doi:10.1001/archopht.1991.01080020024014