ஐ.எஸ்.எஸ்.என்: 2155-9570
Jia-lin Wang and Yu-ling Liu
Background: To report a successful treatment case of endogenous fungal endophthalmitis caused by corticosteroid impulse therapy and the cultures are always negative for fungi.
Methods: Systemic antifungal treatment and full ophthalmic examination including B-scan ultrasonography, fundus photograph and indocyanine green angiography.
Results: The visual acuity recovered from 0.2 to 0.8. B-scan ultrasonography revealed the largest irregular apophysis which disappeared finally. Both fundus photograph and indocyanine green angiography showed the chorioretinal lesions disappearing.
Conclusion: Endogenous fungal endophthalmitis caused by corticosteroid impulse therapy is noteworthy and under this situation antifungal treatment should be considered even if the culture is negative for fungi.