Retina translocation for a patient with endogenous fungal endophthalmitis: long-term follow-up

Excerpt

Bilateral endogenous fungal endophthalmitis (EFE) is a rare but devastating disease. It is caused by the hematogenous spread of fungal organisms from a remote infectious site to the eye, resulting in severe visual loss [1]. Most patients with EFE are immune-compromised hosts such as patients with diabetes mellitus, malignancy, or undergoing chemotherapy associated with reduced host defense [2]. There are also a few reports of EFE caused by yeast-like fungi in immunocompetent individuals [3‐5]. We present a case of endogenous yeast-like fungal endophthalmitis in a healthy individual successfully treated by vitrectomy with retinal translocation. A hinged retinal flap from the inferior temporal area was rotated to the posterior polar area, and reconstruction of bypass vascular circulation was observed during the follow-up, which has not been reported in previous literature. …