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August 1992

Combined Rhegmatogenous-Traction Retinal Detachment Following Successful Treatment of Candida Chorioretinitis

Author Affiliations

St Louis, Mo

Arch Ophthalmol. 1992;110(8):1051-1052. doi:10.1001/archopht.1992.01080200031013

In spite of successful treatment with amphotericin B, eyes with Candida endophthalmitis remain at high risk for profound visual loss from such complications as subretinal neovascular membranes, macular pucker, or traction macular detachments.1-4 We describe a patient with a rhegmatogenous retinal detachment associated with a traction macular detachment in an eye that had otherwise been successfully treated for Candida endophthalmitis. To our knowledge, such a complication has not been previously reported after resolution of active Candida chorioretinitis.

Report of a Case.  —A 55-year-old man was referred for a retinal detachment in his right eye. In July 1989, a non-oat-cell carcinoma of the lung without metastases had been diagnosed at another hospital. Following treatment with radiation and cisplatin the patient developed neutropenia and culture-proved candidemia in October 1989. Concurrently, visual acuity in his right eye decreased from 20/50 to 20/400. The conjunctiva had been hyperemic, and posterior synechiae prevented adequate

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