[Bilateral endogenous ophthalmitis due to Candida glabrata after complicated bariatric surgery]

Abstract

Case report: A 43 year-old female presented with decreased visual acuity in the right eye. «Snowball-like» retinal lesions were found in both eyes on examination. Due to a lack of improvement with intravitreal antifungal empirical treatment, vitreous culture was performed and Candida glabrata was isolated. The patient then received intravitreal amphotericin B, as well as systemic treatment with caspofungin and amphotericin B lipid complex.

Discussion: Endogenous fungal endophthalmitis is a sight-threatening condition. There are few reports of Candida glabrata endogenous endophthalmitis. Treatment regimens for Candida endophthalmitis include combinations of systemic and/or intravitreal antifungals, as well as vitrectomy.

Keywords: Bariatric Surgery; Candida glabrata; Cirugía Bariátrica; Endoftalmitis infecciosa; Infectious endophthalmitis; Intravitreal Injections; Inyecciones Intravítreas; Vitrectomy; Vitrectomía.