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February 1987

Candida albicans Endophthalmitis Following Penetrating Keratoplasty

Arch Ophthalmol. 1987;105(2):173. doi:10.1001/archopht.1987.01060020027012

To the Editor.  —Late endophthalmitis following penetrating keratoplasty has been previously reported.1 Herein, we describe a case of late fungal endophthalmitis following penetrating keratoplasty that responded favorably to oral ketoconazole therapy.

Report of a Case.  —A 61-year-old man underwent an uncomplicated penetrating keratoplasty combined with an extracapsular cataract extraction and posterior chamber lens implantation for a traumatic scar and cataract. The 34-year-old donor had died of trauma. The death-to-preservation time was 40 minutes. The donor cornea was preserved in McCarey-Kaufman medium at 4°C for 34 hours before surgery. At surgery, the donor cornea was sewn into place using a double-running suture technique. The first suture was of 10-0 nylon with 12 equal bites and was placed at 90% depth. The second suture was of 10-0 polypropylene with 12 equal bites between the 10-0 nylon and it was placed at 50% depth. All cultures of donor scleral rim and media

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