Ocular Candidiasis Rupesh Agrawal, Carlos Pavesio Moorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom

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General History  prolonged hospitalisation for systemic co-morbid conditions  diabetes,  hypertension

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Ocular Candidiasis Rupesh Agrawal, Carlos Pavesio Moorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom Ocular History 73, male, British complaints of blurred vision no pain, redness General History prolonged hospitalisation for systemic co-morbid conditions diabetes, hypertension First Presentation - Fundus VA: OD: 6/9, OS- 3ft OD: retinal exudates OS: vitreous haze with retinochoroidal lesion and pigmenatry changes Immediate Investigation intravitreal tap for gram stain, fungus intravitreal tap for gram stain, fungus candida positive candida positive Diagnosis bilateral candida endophthalmitis with vitritis based on clinical findings co-morbid conditions with prolonged hospitalisation positive vitreous biopsy Treatment systemic Amphotericin B (5mg/kg intravenously for 14 days) systemic Amphotericin B (5mg/kg intravenously for 14 days) vitreous tap with intravitreal injection of Amphotericin B (0.1ml of 10ug/ml stat and was repeated after 48 hours vitreous tap with intravitreal injection of Amphotericin B (0.1ml of 10ug/ml stat and was repeated after 48 hours Follow-up - After six months lesions completely resolved VA recovered to 6/6 in OU Final follow up After 12 Months anti fungal treatment for six weeks OU: cataract surgery, no specific pre- or postoperative treatment VA: 6/6 OU no AC cells, no flare, no fundus lesions