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Indocyanine green angiographic features in endogenous Candida chorioretinis
Edoardo Baglivo1, C Seghelmeble, M Bagnoud
1Clinique d'ophtalmologie, Geneva, Suisse. Edoardo.Baglivo@hcuge.ch
Background:
To describe indocyanine green (ICG) angiography (ICGA) findings and clinical features of endogenous mycotic endophthalmitis.
Patients And Methods:
Two patients (a female 62 years, a male 31 years) were addressed to investigate a progressive unilateral visual loss. Slit-lamp examination disclosed a macular chorioretinitis. A clinical work-up revealed a mycotic infection (Candida albicans). Before treatment an ICGA was performed.
Results:
ICGA early frames disclosed hypofluorescent lesions. Progressively, the lesions were surrounded by a slight hyperfluorescence, although the centre of the lesions was still hypofluorescent.
Conclusions:
The presence and persistence of a hypofluorescent lesion after introducing a specific treatment, led us to suspect a necrotic/ischaemic process affecting the choroidal vascular bed. ICGA provided additional information regarding the pathophysiological process and the patient's functional visual recovery.