{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T02:00:26Z","timestamp":1779156026065,"version":"3.51.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,1,29]]},"abstract":"<jats:p>\n                  <jats:italic>Exophiala<\/jats:italic> is a genus of slow-growing, melanin-producing, saprophytic fungi most commonly found in soil, faeces and decaying plant matter. It is an unusual fungal pathogen capable of causing a variety of ophthalmic manifestations, including keratitis, scleritis and endophthalmitis. In this report, we present a rare case of delayed-onset postoperative endophthalmitis confined to the anterior segment, secondary to <jats:italic>Exophiala<\/jats:italic> species. Previous reported cases of delayed-onset postoperative endophthalmitis have been treated medically, with suboptimal outcomes. Our experience supports the use of anterior segment surgery to clear the nidus of disease combined with intravitreal voriconazole to prevent recurrence of the infection.<\/jats:p>","DOI":"10.1136\/bcr-2014-208680","type":"journal-article","created":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T09:09:00Z","timestamp":1424164140000},"page":"bcr2014208680","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Delayed-onset postoperative endophthalmitis secondary to <i>Exophiala<\/i>"],"prefix":"10.1136","volume":"2015","author":[{"given":"Jose Alberto","family":"Quintero-Estades","sequence":"first","affiliation":[{"name":"University of Puerto Rico School of Medicine, San Juan, Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Walter","sequence":"additional","affiliation":[{"name":"Bascom Palmer Eye Institute, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Valenzuela","sequence":"additional","affiliation":[{"name":"Bascom Palmer Eye Institute, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Amescua","sequence":"additional","affiliation":[{"name":"Bascom Palmer Eye Institute, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,2,17]]},"reference":[{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.1","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3181930bb7"},{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.2","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1016\/j.jcrs.2008.04.055","article-title":"Exophiala jeanselmei keratitis after laser in situ keratomileusis","volume":"34","author":"Leung","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2006.01.040"},{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.4","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701995"},{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.5","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200203000-00023"},{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.6","doi-asserted-by":"crossref","first-page":"417","DOI":"10.3928\/1542-8877-20000901-10","article-title":"Exophiala werneckii endophthalmitis following cataract surgery in an immunocompetent individual","volume":"31","author":"Huber","year":"2000","journal-title":"Ophthalmic Surg Lasers"},{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(99)00192-0"},{"key":"2025082703501068000_2015.feb17_1.bcr2014208680.8","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1111\/myc.1990.33.9-10.469","article-title":"Experimental phaeohyphomycosis","volume":"33","author":"Posp\u00edsil","year":"1990","journal-title":"Mycoses"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-208680","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:50:19Z","timestamp":1756291819000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-208680"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,17]]},"references-count":8,"alternative-id":["10.1136\/bcr-2014-208680"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-208680","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,17]]}}}