Open AccessEndogenous candida endophthalmitis in South Taiwan: A 10-year retrospective study
Author(s) -
Shih-Hao Wang,
JongJer Lee,
Yung-Jen Chen,
Hsi-Kung Kuo
Publication year - 2013
Publication title -
taiwan journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.1016/j.tjo.2013.10.002
Subject(s) - medicine , vitrectomy , endophthalmitis , visual acuity , retrospective cohort study , candida albicans , diabetes mellitus , antifungal , candida tropicalis , surgery , ophthalmology , dermatology , biology , endocrinology , genetics
PurposeTo investigate the clinical manifestations and the results of the management of endogenous candida endophthalmitis (ECE) at our hospital.MethodsThis study was a retrospective chart review conducted between September 2002 and September 2012.ResultsOur study included 24 eyes of 14 patients. The culture results revealed Candida albicans in 11 cases and Candida tropicalis in three cases. Diabetes mellitus, cancer, and intravenous catheter implantation were the most important risk factors for ECE. A systemic antifungal agent combined with intravitreal injection or vitrectomy was our method for treating these cases and the complications. The outcomes were generally poor, with a final visual acuity (VA) of better than 0.1 in 10 cases, counting finger to 0.1 in six cases, light perception to hand motion in six cases, and no light perception in two cases.ConclusionUnsatisfactory visual outcome in ECE is related to poor initial VA and complications. Early diagnosis and prompt treatment are necessary for these patients