Haematogenous candida endophthalmitis after abdominal surgery

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Abstract
Two cases of bilateral endogenous candida endophthalmitis occurring after abdominal surgery are presented. The first patient was treated with intravenous amphotericin B followed by oral ketoconazole. The active chorioretinal lesions resolved in 4 weeks. Subretinal neovascularization with fibrous scarring developed in the right macula, and a hole developed in the left macula of this patient leading to impaired visual acuity of both his eyes. The second patient was first examined by an ophthalmologist 5 months after onset of the infection with simultaneous decrease of visual acuity. Five months earlier she had received a 2-week course of miconazole. Oral corticosteroids were administered for treatment of active chorioretinal lesions observed in both her eyes. Both chorioretinal lesions and vitreous opacites disappeared within a year without fibrous scarring. The visual acuity of the left eye improved from 0.5 (observed on first examination) to 1.0. The visual acuity of the right eye remained at the level of finger counting only.