Abstract

Endogenous endophthalmitis, although uncommon, represents an important clinical problem due to its potential for profound visual loss. Candida is the most common cause of endogenous fungal endophthalmitis (EFE) and is seen mainly in patients with risk factors such as immunosuppression and uncontrolled diabetes mellitus. Very few case reports have suggested EFE after invasive medical procedures. Treatment of fungal EFE involves systemic and intravitreal antifungals and early vitrectomy. The prognosis is often poor and early diagnosis and treatment is of utmost importance. We present a case of a 40 year old woman who developed bilateral candida EFE after ureteric stenting. She was treated with multiple injections of intravitreal voriconazole and vitrectomy. The patient had a good visual prognosis in the eye treated promptly. This case highlights the importance of early diagnosis and prompt initiation of appropriate treatment for obtaining good visual prognosis.