Common symptons of Candida endophthalmitis include poor vision, floaters, and pain. Bilaterality is not uncommon, even though it was not seen in this case.

Retinal hemorrhages, focal abcesses, and even retinal detachment can ensue once this condition gets rolling. If you suspect that you may have a patient with Candida, you should work the patient up for CMV, toxo, in addition to Candida itself. Also inquire about catheterization, steroid use, etc.

Treatment includes Fluconazole, with Amphotericin B being brought in for resistant cases. Treatment of any anterior uveitis is also appropriate. Obviously, referral to an infectious disease specialist is advised rather than trying to treat the systemic infection yourself.

See you next time!