Two cases of endogenous fungal endophthalmitis in diabetes mellitus
Ohara, R.; Suzuki, Y.; Suda, Y.; Chiba, K.; Suzuki, R.
Folia Ophthalmologica Japonica 40(7): 1514-1518
ISSN/ISBN: 0015-5667 Accession: 007973011
Two cases of endogenous fungal endophthalmitis are reported. Both patients had suffered from diabetes mellitus for many years. Case 1, a 55-year-old male, had previously had urinary tract infection and genital ulcer, and uveitis complicated with hypopyon. Case 2, a 48-year-old male, had required prolonged intravenous hyperalimentation after gastrectomy. During the injection course he had high fever; culture of the tip of the central venous catheter was positive for Candida albicans. Based on history and specific opthalmological findings, diagnosis was relatively easy. Good visual acuity was achieved after vitrectomy with a single intravitreal injection of amphotericin B. Diabetes patients have low resistance to infection. We stress the need to consider endogenous fungal endophthalmitis, if severe uveitis appears in diabetes mellitus cases.