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Ocular candidiasis complicated by branch retinal vein occlusion
  1. Esra Sanli1,
  2. Vivek B Pandya1,2,
  3. Robert J McDonald1,2,
  4. Peter J McCluskey1,2
  1. 1Department of Ophthalmology, Sydney Eye Hospital, Sydney, New South Wales, Australia
  2. 2Save Sight Institute, University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to Professor Peter J McCluskey, Save Sight Institute, Sydney Eye Hospital, GPO Box 4337, Sydney NSW 2001, Australia; peter.mccluskey{at}sydney.edu.au

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Case description

A 31-year-old woman presented to our emergency department with a 10-day history of a red, painful right eye and subjectively reduced vision. She was 2 weeks post partum and had been discharged home on oral antibiotics after a single febrile episode on day 1 postdelivery. Her medical history was unremarkable and she was systemically well at presentation. Her right visual acuity was 6/45 and left 6/6. There was diffuse right sided conjunctival injection and biomicroscopy revealed significant anterior chamber inflammation. Intraocular pressure was normal. Fundus examination of the right eye showed a well circumscribed, white area of chorioretinitis, involving the macula, with associated vitritis (figure 1A). In addition, there were inferior retinal haemorrhages, cotton wool spots and venous sheathing (figure 1B). Ocular coherence tomography confirmed the presence of a central macular chorioretinal lesion, without overt penetration into the vitreous space (figure 2A).

Figure 1

(A) A well circumscribed creamy white lesion involving the macula is typical of Candida albicans chorioretinitis. (B) Inferior retinal haemorrhages, cotton wool spots and vessel sheathing indicating branch retinal vein.

Figure 2

(A) Ocular coherence …

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