Irido-lenticular abscess as the initial sign of Candida albicans endogenous endophthalmitis.

Jonathan Chang // Publications // Dec 08 2011

PubMed ID: 22150597

Author(s): Braich PS, Chang JS, Albini TA, Schefler AC. Irido-lenticular abscess as the initial sign of Candida albicans endogenous endophthalmitis. Ophthalmic Surg Lasers Imaging. 2011 Dec 8;42 Online:e107-9. doi: 10.3928/15428877-20111201-01. PMID 22150597

Journal: Ophthalmic Surgery, Lasers & Imaging : The Official Journal Of The International Society For Imaging In The Eye, Volume 42 Online, Dec 2011

A-33-year-old man presented with 9 days of conjunctival erythema, pain, and worsening vision in the left eye. Anterior segment examination was significant for a well-defined, cream-colored iridociliary mass. Ultrasound biomicroscopy demonstrated an iris lesion with ciliary body and lenticular involvement. The authors performed a pars plana vitrectomy and lensectomy with an iris biopsy. Culture of the vitreous cassette and iris mass yielded a diagnosis of Candida albicans endophthalmitis. Clinicians encountering an iris nodule with lenticular involvement, even in an immunocompetent adult, are urged to consider a diagnosis of an endogenous endophthalmitis secondary to C. albicans.

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