Bilateral presumed endogenous candida endophthalmitis and stage 3 retinopathy of prematurity - 02/09/11
Abstract |
PURPOSE: To report a case of presumed endogenous bilateral Candida endophthalmitis that developed in an infant with bilateral posterior stage 3 retinopathy of prematurity.
DESIGN: Interventional case report.
METHODS: In a very low birth weight and extremely premature infant, presumed endogenous bilateral Candida endophthalmitis was successfully eradicated from each eye and retinopathy of prematurity was managed.
RESULTS: Candida endophthalmitis was successfully eradicated from each eye by vitrectomy with instillation of 5 μg amphotericin B. Stage 3 retinopathy of prematurity without “plus disease” in the right eye regressed without ablation of the avascular peripheral retina. Stage 3 retinopathy with “plus disease” in the left eye was successfully managed with endolaser photocoagulation.
CONCLUSIONS: Concomitant Candida endophthalmitis and posterior stage 3 retinopathy of prematurity often portend a dismal prognosis. We describe an infant for whom prompt diagnosis and aggressive therapy of both conditions resulted in a favorable anatomic outcome in both eyes.
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Vol 134 - N° 4
P. 611-613 - octobre 2002 Retour au numéro
Article précédent
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- HarHiu D Lam, Mark S Blumenkranz
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- Ellen N Yu, C.Stephen Foster
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