Curvularia lunata endophthalmitis with secondary keratitis

PURPOSE: To report a case of pseudophakic endophthalmitis with secondary ke ratitis caused by Curvularia lunata. METHODS: A 40 year-old man presented with a fluffy mass in the anterior cha mber with low-grade delayed postoperative inflammation in the right eye. RESULTS: The anterior chamber and vitreous aspirate demonstrated C. lunata. A large corneal infiltrate developed after aspiration of the mass. Treatme nt with systemic, topical, and intraocular antifungal agents cleared the vi treous, but the cornea perforated. CONCLUSION: Delayed low-grade infection with a fluffy mass in the anterior chamber after cataract surgery can rarely be a clinical presentation of dem atiaceous fungal infection. Secondary keratitis may result after a diagnost ic aspiration. (Am J Ophthalmol 2001;131:140-142. (C) 2001 by Elsevier Scie nce Inc. All rights reserved.).