Monitoring and managing Candida chorioretinitis with secondary choroidal neovascular membrane (CNV) through multimodal imaging

Author: Alvaro Tello (Spain)

Co-authors: Martin Puzo, Borja Arias, Silvia Mendez, Nieves Pardiñas, Oscar Ruiz

Purpose

To show how multimodal imaging techniques allow us to detect complications secondary to chorioretinal infections and monitor the response to treatment.

Setting/Venue

Ophthalmology service, Hospital Universitario Miguel Servet. Zaragoza, Spain

Methods

Clinical case of a 22-year-old female patient with candida chorioretinitis with secondary CNV followed-up for three months with Spectral Domain OCT (SD-OCT), OCT Angiography (OCTA) and ultra-wide field retinography (UWF).

Results

Combined images from SD-OCT, OCTA and UWF allow us not only to clearly diagnose the pathological entity, but to monitor the associated complications. Thanks to these multimodal techniques we could see total regression of the CNV after treatment with aflibercept as well as the resolution of the infectious process with systemic and intravitreal treatment with voriconazole.

Conlusions

Multimodal imaging is key in the fast and accurate diagnosis of retinal pathology. It helps us to monitor an intensive treatment in cases in which visual acuity is seriously threatened.

Financial Disclosure

Authors declare no conflict of interest