| ORIGINAL ARTICLE |
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| Year : 2013 | Volume
: 3
| Issue : 4 | Page : 146-150 |
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Endogenous candida endophthalmitis in South Taiwan: A 10-year retrospective study
Shih-Hao Wang, Jong-Jer Lee, Yung-Jen Chen, Hsi-Kung Kuo
Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
Correspondence Address:
Hsi-Kung Kuo
Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Number 123, Ta-Pei Road, Niao-Sung District, Kaohsiung
Taiwan
 Source of Support: None, Conflict of Interest: None  | 3 |
DOI: 10.1016/j.tjo.2013.10.002
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Purpose: To investigate the clinical manifestations and the results of the management of endogenous candida endophthalmitis (ECE) at our hospital.
Methods: This study was a retrospective chart review conducted between September 2002 and September 2012.
Results: Our study included 24 eyes of 14 patients. The culture results revealed Candida albicans in 11 cases and Candida tropicalis in three cases. Diabetes mellitus, cancer, and intravenous catheter implantation were the most important risk factors for ECE. A systemic antifungal agent combined with intravitreal injection or vitrectomy was our method for treating these cases and the complications. The outcomes were generally poor, with a final visual acuity (VA) of better than 0.1 in 10 cases, counting finger to 0.1 in six cases, light perception to hand motion in six cases, and no light perception in two cases.
Conclusion: Unsatisfactory visual outcome in ECE is related to poor initial VA and complications. Early diagnosis and prompt treatment are necessary for these patients.
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