DR.ADIT GANDHI

DR. R. RATHINAM SIVAKUMAR

Abstract

A 40 year old female presented with complaints of defective vision in BE since 1 week. Visual acuity was 1/60 in RE and 6/18p in LE. Her ocular findings included a normal anterior segment, mild vitritis and retinitis patches in both eyes. Past history revealed that the patient had undergone treatment for left ureteric calculus with a Double-J stent 1 month back. The stent was in-situ at the time of presentation, leading to the diagnosis of Bilateral Septic retinitis. Vitreous tap and urine culture revealed Candida Albicans as the causative organism. The patient was managed with intravitreal voriconazole injections, oral fluconazole and vitrectomy in the right eye. Follow-up visits revealed reducing size of the retinitis patch. Since the lesions involved the macula early in the disease, visual recovery was not very significant. We present this case to highlight the importance of early diagnosis and management in cases of fungal endophthalmitis due to the significant associated morbidity