Delayed fungal endophthalmitis secondary to Curvularia

PURPOSE: To describe a case of fungal endophthalmitis secondary to Curvularia after cataract surgery. OBSERVATIONS: This case showed delayed and recalcitrant fungal endophthalmitis secondary to Curvularia despite treatment with pars plana vitrectomy, intravitreal antifungal therapy, and systemic antifungals. CONCLUSIONS AND IMPORTANCE: Curvularia-associated endophthalmitis should be considered in the differential diagnosis of delayed post-cataract endophthalmitis, especially in tropical or subtropical geographical areas. Awareness and early identification, timely removal of the nidi of sequestration, and prolonged antifungal treatments are important for the eradication of Curvularia-associated endophthalmitis.