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Vitrectomy for epiretinal membrane with Candida chorioretinitis.
H R McDonald1, S De Bustros, J O Sipperley
1Retina Research Fund, St. Mary's Hospital and Medical Center, San Francisco, CA.
Ophthalmology
|April 1, 1990
Summary
Surgical removal of epiretinal membranes successfully treated tractional retinal detachment in Candida chorioretinitis. Visual outcomes were linked to macular scarring and pathology severity following the fungal infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Retinal Surgery
Background:
- Candida chorioretinitis can lead to serious ocular complications.
- Tractional retinal detachment and macular pucker are significant visual impairments.
Observation:
- Epiretinal membranes (ERMs) were observed in four eyes with Candida-associated retinal issues.
- These ERMs were vascularized and often associated with retinal scarring from prior infections.
Findings:
- Vitrectomy and ERM dissection were performed in all four cases.
- Complete ERM removal was achieved in every patient.
- Post-operative vision depended on the extent of macular damage and scarring.
Implications:
- Surgical intervention can be effective in managing ERMs secondary to Candida chorioretinitis.
- Early detection and treatment of macular pathology are crucial for better visual prognosis.
- Understanding the role of ERMs in fungal-related retinal detachment is important for surgical planning.