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CASE REPORT
Chronic candida endophthalmitis as a cause of intermediate uveitis
  1. Rowayda Mohamed Amin1,
  2. Islam Hamdy2,
  3. Ihab Mohamed Osman3
  1. 1Department of Ophthalmology, Alexandria Faculty of Medicine, Alexandria, Egypt
  2. 2Department of Vitreoretinal Diseases, Alexandria Faculty of Medicine, Alexandria, Egypt
  3. 3Alexandria Faculty of Medicine, Alexandria, Egypt
  1. Correspondence to Dr Rowayda Mohamed Amin, drrowaydaamin{at}hotmail.com

Summary

Intermediate uveitis is a subset of intraocular inflammation where vitritis is the most consistent sign, with or without snowball opacities or snow banks over the pars plana. Some patients will have an associated underlying systemic disease such as sarcoidosis, multiple sclerosis, ocular tuberculosis, inflammatory bowel disease, possibly Behçet's disease and intraocular lymphoma, whereas some will be classified as pars planitis in case of the lack of an identifiable systemic disease association. Our patient, a 47-year-old woman, developed intermediate uveitis after cataract surgery in her right eye, was misdiagnosed as pars planitis, and received steroid monotherapy for 8 months. Her inflammation only fully resolved after vitrectomy with removal of the intraocular lens (IOL) and capsular bag. Oral fluconazole and intravitreal amphotericin B injection had failed to resolve her inflammation when Candida albicans was identified as the cause of her persistent intermediate uveitis.

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