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.
Alexandridou A, Reginald AY, Stavrou P, Kirkby GR. Candida Endophthalmitis After Tattooing in an Asplenic Patient. Arch Ophthalmol. 2002;120(4):518-519. doi:10.1001/archopht.120.4.518