Endogenous Fungal Endophthalmitis: Causative Organisms, Management Strategies, and Visual Acuity Outcomes

Bilateral endogenous fungal endophthalmitis secondary obstructive pyelonephritis

“…In a series of cases of fungal endophthalmitis, the vitreous samples collected by vitrectomy produced positive results in 92% of eyes when this method was used as initial treatment (6) . On the other hand, it has been demonstrated that in cases of endophthalmitis after cataract surgery, only in 24% of the vitreous samples the pathogenic agent was identified by culture exam, against 92% when compared to the polymerase chain reaction (PCR) (7) .…”

“…Postoperative follow-up is necessary due to the high risk of retinal detachment after posterior vitrectomy (6) and formation of epiretinal membranes (ERM), a frequent complication of uveitis with significant impairment of visual function (12) . The prevention of the formation is based on the aggressive control of the inflammation; when present, surgical treatment with posterior vitrectomy and peeling of the ERM improves or stabilizes the VA when macular traction is proven.…”

Bilateral endogenous ophthalmitis due to Candida glabrata after complicated bariatric surgery

“…On the other hand, antifungal therapy time must be determined based on stabilization and resolution of eye lesions, according to clinical guidelines. 4,10 Further evidence to manage this type of endophthalmitis is required.…”

“…3 Although endogenous fungal endophthalmitis has been reported, bilateral ocular involvement is a less common condition. 4 Even less is endogenous endophthalmitis from Candida glabrata [5][6][7] (C. glabrata). There are no papers reporting bilateral endogenous endophthalmitis from C. glabrata.…”

Candidemia from an Upper Urinary Tract Infection Complicated by Candida Endophthalmitis

“…The definition of endophthalmitis varies in the literature. It is defined as the involvement of the intraocular spaces (12,13), but also as isolated chorioretinitis (14). In the present report, however, we use the term "endophthalmitis" to refer to disease extending to the vitreous body according to the clinical findings.…”