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  Vol. 121 No. 5, May 2003 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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 •Infectious Diseases, Other
 •Endophthalmitis
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Macular Hole Secondary to Fungal Endophthalmitis

Arch Ophthalmol. 2003;121:732-733.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Endogenous fungal endophthalmitis is a well-recognized, vision-threatening disorder commonly seen in immunocompromised patients. One of the clinical findings of fungal endophthalmitis is a white, circumscribed region of chorioretinitis, called a focus, which often results in a hypopigmented scar even ifantifungal therapy is successful. We report a rare case of endogenous fungal endophthalmitis that led to a macular hole (MH).

Report of a Case

A 53-year-old woman visited our clinic, requesting a second opinion on her treatment for fungal endophthalmitis following intravenous hyperalimentation after thyroid cancer surgery. Her best-corrected visual acuity was 20/20 with –7.0 diopter sphere (DS) OD, and 20/200 with –7.0 DS OS. Slitlamp examination revealed a mild inflammatory response in the vitreous of both eyes. Fundus examination showed a focus involving the macula and surrounding retinal hemorrhages in the left eye (Figure 1). Foci that did not involve the macula were present in the right eye. A Weiss ring was . . . [Full Text of this Article]


Comment
Corresponding author and reprints: Shunji Kusaka, MD, Division of Ophthalmology, Osaka Prefectural General Hospital, 3-1-56 Bandai-Higashi, Sumiyoshi, Osaka 558-0056, Japan (e-mail: kusaka-ns@umin.ac.jp).







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