B bassiana keratitis is extremely rare, with only a few cases reported. Its risk factors are unknown. We report the first case in a patient with aphakic bullous keratopathy, which proved highly resistant to antifungal therapy (antifungal susceptibility results are presented). A PK was necessary for clinical improvement. A review of the literature is performed in an effort to define therapeutic strategies.

Purpose: We aimed to characterize epidemiologically open-globe injuries and patterns of posttraumatic endophthalmitis in northwestern Portugal. Methods: A retrospective review of 163 inpatients with a diagnosis of traumatic open-globe injury treated at the ophthalmology department of the hospital S. João was performed. Results: No cases were reported in patients wearing proper eye protection. Of the 163 eyes, 76.0% were from male patients. The mean age of the males was significantly lower than that of the females (35.6 vs. 56.0 years; p < 0.001), and 57.1% of the cases resulted from personal accidents. The prevalence of intraocular foreign bodies (IOFBs) was 29.6%; IOFBs are more frequent at work (50%) and with metallic objects (50%). The endophthalmitis incidence was 5.7% with a trend for a higher risk with IOFBs. Laceration due to plants increased this risk. Conclusions: Personal accidents are the most important cause of open-globe injuries. Special relevance should be given to prevention with appropriate eyewear in home chores. Work-related trauma is more associated with IOFB; imaging is fundamental in emergency department evaluation.

In the late 1970s, prone positioning was established as an efficient treatment for acute respiratory distress syndrome (ARDS). Currently, with the world facing a global health crisis due to the COVID-19 pandemic, it has become an accepted routine practice in intensive care units dealing with critically ill COVID-19 patients. Ophthalmic complications associated with the prone position are not a novelty in clinical practice. Indeed, it is estimated that in patients undergoing spine surgery, prone positioning carries a tenfold increased risk of eye injury when compared to supine and lateral positioning. The majority of these complications are treatable ocular surface disorders, but irreversible sight-threatening conditions also occur. We report a unique and dramatic case of a ruptured globe in a COVID-19 patient placed in prolonged prone position, emphasizing its difficult diagnosis and management while focusing on life-saving support.

Introduction Endogenous endophthalmitis is a rare but devastating ocular infection, resulting from microbial seeding of the eye during bacteremia or fungemia. Among other sources of septicemia, intravenous drug abuse is a significant risk factor, and endogenous endophthalmitis should always be thought of in any patient with a history of injectable drug use, presenting with a painful vision loss and a red inflamed eye. Case Description We report the case of a 47-year-old male, with a history of injectable drug consumption, who presented to our emergency department complaining of a painful red eye and recent deterioration of visual acuity. After the first clinical hypothesis of endogenous endophthalmitis being considered, the final diagnosis of Human Leukocyte Antigen (HLA) B27-associated acute anterior uveitis was established. Conclusion Ocular inflammation is one of the most challenging fields in all ophthalmology. Several inflammatory disorders, ranging from a wide variety of infectious and non-infectious conditions, can present themselves with the same clinical signs and symptoms, making their diagnosis extremely defiant.

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