PAECILOMYCES-LILACINUS ENDOPHTHALMITIS WITH SECONDARY KERATITIS - A CASE REPORT AND LITERATURE REVIEW

A case of endogenous fungous endophthalmitis with secondary pupillary block glaucoma and corneal invasion requiring penetrating keratoplasty is reported. Initially Paecilomyces lilacinus was isolated from a vit reous and a lens aspirate, but a second vitreous tap revealed Aspergil lus fumigatus and P lilacinus. This case highlights the difficulty of diagnosing endogenous fungous endophthalmitis presenting without risk factors and the difficulties of managing such cases using the antifung ous agents available. To our knowledge, this is the first case report documenting a progression to stromal keratitis from endogenous endopht halmitis secondary to P lilacinus.