Simultaneous aspergillus endophthalmitis and cytomegalovirus retinitis after kidney transplantation

We report a case of disseminated and intraocular Aspergillus and cytomegalovirus (CMV) infection in a renal transplant recipient. Aggressive management included reduction of the immunosuppressive medications, systemic and intraocular administration of antifungal agents, treatment with a systemic antiviral drug, and ophthalmic surgery. The clinical and histopathologic features of intraocular Aspergillus and cytomegalovirus infections are discussed. The literature of intraocular mixed opportunistic infections is reviewed.