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       XXVI Annual Congress of the Iranian Society of Ophthalmology        بـیــست و ششمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Endogenous Candida endophthalmitis after spontaneous abortion.
Author(s): Leila Rezaei, Alireza Dehghani,Heshmatollah Ghanbari
Presentation Type: Poster
Subject: Posterior Segment and Uveitis
Others:
Presenting Author:
Name: Leila Rezaei
Affiliation :(optional) Kermanshah University of medical science, Isfahan University of medical science
E mail: leyla_rezaei60@yahoo.com
Phone: 09188370655
Mobile: 09188370655
Purpose:

Endogenous Candida endophthalmitis (CE) is a rare disease. We report CE following spontaneous abortion in a woman with candida vaginitis.

Methods:

A 40-year-old woman who had candida vaginitis and spontaneous abortion 10 days ago developed left eye pain and blurring of vision (hand motion). A diagnosis of CE was established on the basis of, characteristic fundus finding, positive vaginal smear and culture, and culture for Candida hyphae from the vitreous specimen.

Results:

She treated with systemic amphotericin B and fluconazole and pars plana vitrectomy with intravitreal amphotericin B injection. Postoperatively, vitritis and fundus lesion resolved gradually. 3 months after treatment, visual acuity was 20/100.

Conclusion:

Complicated abortion and preexisting candida vaginitis may cause endogeneus CE in a young healthy woman.Early diagnosis, taking exact past medical history and aggressive treatment with pars plana vitrectomy and intravitreal injection of amphotericin B proved as a method of choice in treating this severe ophthalmic disease.

Attachment: 5457enophthalmitis.pptx





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