Candida Albicans Endophthalmitis after Phacoemulsification and Intraocular Lens Implantation

ABSTRACT

A case of fungal infection after uncomplicated phacoemulsification with posterior chamber intraocular lens implantation is reported. Initially, aqueous tap showed no organism. Despite capsular bag wash and intravitreal vancomycin treatment, the inflanmation persisted. Pars plana vitrectomy sample showed yeast cells on smear examination. Intravitreal Amphotericin B alongwith IOL explanation was performed. Candidla albicans growth was seen 011 inoculated culture plates and over the explanted IOL. The patient postoperatively developed secondary glaucoma that required surgical management. At two years follow-up. the vision is 6/18 with RGP contact lenses and no complications is observed.