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Photo Essay
April 2002

Candida Endophthalmitis After Tattooing in an Asplenic Patient

Arch Ophthalmol. 2002;120(4):518-519. doi:10.1001/archopht.120.4.518

A 40-YEAR-OLD MAN had a red right eye and reduced vision for 4 days. A tattoo had been applied 1 week earlier (Figure 1), and he had undergone splenectomy after trauma in childhood. Visual acuity was 20/40 OD and 20/20 OS. Examination of the right eye revealed 1+ cells in the anterior chamber, 2+ cells and debris in the vitreous body, and disc hyperemia. A white, fluffy chorioretinal lesion was noted along the inferotemporal vascular arcade (Figure 2). Examination findings from the left eye were unremarkable. Candida albicans grew from a culture sample obtained from the vitreous body after diagnostic vitrectomy. After surgery, fluorescein angiography showed leakage associated with the chorioretinal lesion, masking from a retinal hemorrhage, and vascular leakage (Figure 3). The patient responded well to intravenous administration of amphotericin B (2 mg/kg), followed by oral fluconazole therapy (200 mg/d). Four months later, visual acuity was 20/20 OD and the eye was normal.

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