Cutting the Fluff- Vitrectomy for Endogenous Candida endophthalmitis
Author: Shaheeda Mohamed (Hong Kong)
Co-authors: Chi Wai Tsang
This video demonstrates vitrectomy for endogenous Candida endophthalmitis in an immunocompromised patient with diabetes and underlying malignancy.
Vitrectomy allows clearance of the fungal load and toxins, provides material for culture, provides intravitreal access for anti fungal delivery, and can manage complications such as tractional retinal detachment.
The video shows the surgical management of such a case, and together with systemic voriconazole, and intravitreal amphotericin B, the Candida endophthalmitis was brought under control, and the infection resolved.
The vitreous cavity was cleared of fluff balls, and the retina remained attached. The patient's vision improved to 2/60.
Although it is difficult to treat severe Candida endophthalmitis, it is possible to control the infection and to achieve a reasonable outcome in a challenging case such as this.
Secretariat Address European Society of Retina Specialists Ground Floor, The Apex Building Blackthorn Road
Sandyford Business Park
Co Dublin, D18 H6K2