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December 1988

Successful Treatment of a Subretinal Abscess in an Intravenous Drug Abuser

Author Affiliations

St Louis
Gainesville, Fla

Arch Ophthalmol. 1988;106(12):1651-1652. doi:10.1001/archopht.1988.01060140823011

To the Editor.  —Subretinal abscess is an unusual clinical entity. We describe a subretinal abscess with minimal vitreous involvement in an intravenous drug abuser. Cultures of subretinal material yielded Aspergillus flavus.

Report of a Case.  —A 40-year-old man presented with pain of five days' duration and central visual loss in his right eye. He had previously abused intravenous cocaine. Ocular and medical history were unremarkable. General physical examination results were normal.Eye examination revealed a visual acuity of counting fingers in the right eye and 20/25 OS. There was no relative afferent pupillary defect. Slit-lamp examination of the right eye showed a hyperemic conjunctiva, fine keratic precipitates on the corneal endothelium, moderate cellular reaction in the anterior chamber, and minimal cellular reaction in the anterior vitreous. Intraocular pressure was 8 mm Hg OD and 12 mm Hg OS.Fundus examination of the right eye demonstrated a well-defined, creamy, yellow

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