Department of Ophthalmology, Ankara University Faculty of Medicine, Ankara, Turkey.
Ocul Immunol Inflamm. 2020;28(2):178-181. doi: 10.1080/09273948.2019.1568503. Epub 2019 Feb 22.
: To report a case of endogenous endophthalmitis in an immunocompetent patient with onychomycosis.: Retrospective case report.: A 40-year-old man with onychomycosis presented with subretinal abscess in the left eye. Systemic and intravitreal injections did not prevent further progression of the infection. The patient underwent pars plana vitrectomy. One month after surgery, the intraocular inflammation gradually subsided. However, his visual acuity stayed at counting fingers as a result of macular scarring.: The aim of this case presentation is to emphasize that endogenous fungal endophthalmitis can be seen in an immunocompetent patient. The use of systemic steroids in the past was the main reason for the progression of the disease in this case. In these situations, when the clinical findings suggest a fungal etiology, it should keep in mind that endogenous candida endophthalmitis can be a result of fungal infections from distant sites such as the toenails and systemic steroids should not be started before definite diagnosis.
报告一例免疫功能正常的甲真菌病患者发生内源性眼内炎。回顾性病例报告。一名 40 岁男性因甲真菌病就诊，左眼出现视网膜下脓肿。全身和玻璃体内注射均未能阻止感染进一步发展。患者接受了玻璃体切除术。术后 1 个月，眼内炎症逐渐消退。然而，由于黄斑瘢痕，他的视力仍保持在指数视力。本病例报告的目的是强调免疫功能正常的患者也可能发生内源性真菌性眼内炎。本病例中，疾病进展的主要原因是过去使用全身类固醇。在这些情况下，当临床发现提示真菌病因时，应牢记，来自远处部位（如趾甲）的内源性念珠菌性眼内炎也可能是真菌感染的结果，在明确诊断之前不应开始使用全身性类固醇。
