Periocular abscess caused by Pseudallescheria boydii after a posterior subtenon injection of XXXX .

@entity1 @entity32 @entity2995 @entity227 @entity5517 @entity1713 @entity1103 @entity3202 @entity3169 @entity2059 @entity2713
BACKGROUND: A posterior subtenon injection of @entity2995 is an alternative to intravitreal injection in @entity1103 and is known to have fewer @entity227 . Here, we report a case of periocular abscess following posterior subtenon injection of @entity2713 . METHODS: A 62-year-old @entity1 who had @entity1103 and disc neovascularization underwent a posterior subtenon injection of @entity2995 and panretinal laser photocoagulation. One month later a periocular abscess was noted in the inferotemporal area adjacent to the scleral wall. Pus was removed by fine-needle aspiration, and microbiologic cultures identified Pseudallescheria boydii. The @entity1 was given systemic and subconjunctival treatment with @entity2059 . However, @entity3169 and @entity32 worsened, and another posterior subtenon abscess was found. RESULTS: Despite long-term systemic and topical @entity2059 therapy, @entity1713 and vitreous opacity were shown on B-scan, and @entity3202 bulbi resulted. CONCLUSIONS: @entity5517 and orbit can result in a poor visual outcome. Prompt surgical debridement and drainage of the abscess, along with appropriate antifungal therapy based on susceptibility testing, must be mandatory.
