POSTOPERATIVE RHIZOPUS-SCLERITIS IN A DIABETIC MAN

A 50-year-old diabetic man developed necrotizing scleritis with adjace nt keratitis 4 weeks after uncomplicated cataract extraction and intra ocular lens implantation through a scleral tunnel incision. Cultures o f the necrotic sclera grew Rhizopus species. Severe destruction of the globe ensued despite topical, subconjunctival, and intravenous amphot ericin B, in combination with hyperbaric oxygen therapy. Histopatholog ical examination of the enucleated globe was consistent with Rhizopus infection. One year later, the patient was well without signs fo recur rence.