Fig. 14. Endogenous fungal endophthalmitis. Left: The patient presents four weeks following surgery involving the large intestine. A progressive retinal infiltrate (Candida) is seen below the optic disc; visual acuity is 20/400. The patient was treated with pars plana vitrectomy and injected with intravitreal amphotericin B 5 μg. The patient was treated systemically with fluconazole 400 mg daily. Right: The culture confirmed Candida species. Final visual acuity improved to 20/25. The uninvolved crystalline lens was not removed in this patient. |