Do all candidemic patients need an ophthalmic examination?
Author(s) -
Michael J. Vinikoor,
Jonathan Zoghby,
Kenneth L. Cohen,
Joseph D. Tucker
Publication year - 2013
Publication title -
international journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.278
H-Index - 89
eISSN - 1878-3511
pISSN - 1201-9712
DOI - 10.1016/j.ijid.2012.12.014
Subject(s) - medicine , incidence (geometry) , epidemiology , complication , direct examination , endophthalmitis , intraocular surgery , physical examination , eye examination , ophthalmology , optometry , surgery , visual acuity , physics , political science , law , optics
Intraocular candidiasis is a potentially sight-threatening complication of candidemia. While the incidence of candidemia in North America has increased, the prevalence of intraocular candidiasis appears to be decreasing. In the USA and Europe, an ophthalmic examination is recommended for all candidemic patients to rule out intraocular involvement. However, improvements in management, clarification of the diagnosis, and trends in the epidemiology of intraocular candidiasis suggest that some candidemia patients might be safely managed without the recommended dilated ophthalmic examination.
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