Ocular Involvement in Patients with Fungemia in an Urban Tertiary Care Center

Abstract

All involved individuals in this study were either non-communicative or without visual complaints. This suggests that routine screening should still be recommended, especially in a public hospital setting.

The Incidence of Ocular Complications in Candidemic Patients and Implications for the Practice of Routine 
Eye Exams

“…We collected demographic information including age and gender. Clinical data abstracted from the charts included medical comorbidities associated with an increased risk of underlying retinal or embolic disease (hypertension, diabetes, valvular vegetation on echocardiogram, or other known eye disease), known immunocompromised status (neutropenia with absolute neutrophil count [ANC] <500 cells/µL, history of solid organ or bone marrow transplant, human immunodeficiency virus, or currently prescribed immunosuppressive medications), and the presence of previously identified risk factors for ocular candidiasis (recent antibiotic exposure, presence of an indwelling catheter, recent incisional gastrointestinal surgery, parenteral alimentation, history of intravenous drug use, presence of concomitant bacteremia, and need for dialysis after a positive fungal blood culture) [ 2 , 7 , 8 , 10–12 , 17 , 18 ].…”

“…In light of this, the American Academy of Ophthalmology recently published updated guidance that recommends ophthalmologic evaluation only in those candidemic patients who demonstrate signs or symptoms of ocular candidiasis [ 9 ]. However, other groups continue to recommend universal screening due to reported ocular complication incidence rates varying from 2% to 20% [ 2 , 7 , 10–14 ].…”

Lo mejor del año en uveítis 2017

“…Se postula la afectación coroidea como paso previo a la afectación retiniana y vítrea, aunque la tasa de esta evolución se desconoce. 30…”