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August 1979

Fusarium Oxysporum Endophthalmitis-Reply

Author Affiliations

Oklahoma City

Arch Ophthalmol. 1979;97(8):1545. doi:10.1001/archopht.1979.01020020195035

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In Reply.  —We appreciate the excellent comments of Dr O'Day and associates concerning our patient with F oxysporum endophthalmitis. We did not, in fact, observe hyphal material in the original vitrectomy specimen by phase contrast microscopy. The progressive deterioration of vision and inflammation suggested fungal growth prior to vitrectomy. During the original vitrectomy, several mass lesions were removed from the vitreous but the actual mass on the posterior aspect of the lens capsule was not disturbed; we believed that the risk to the lens was unjustified. Several of these mass lesions could certainly have been an inflammatory reaction to viable spores. The clinician should be aware that fungi do not normally sporulate in tissue. We hope that editors will more rapidly publish Dr O'Day's further fungal experimental and clinical data, for it will assist all clinicians in treating these difficult cases.

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