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Endogenous endophthalmitis during pregnancy: Case report.
M García Roa1, A Arias Gómez1, R García Franco1
1Servicio de Retina y Vítreo, Instituto de la Retina del Bajío, Santiago de Querétaro, México.
Archivos De La Sociedad Espanola De Oftalmologia
|June 20, 2020
Summary
Endogenous endophthalmitis, a rare vision-threatening infection, occurred in a pregnant woman post-appendicitis. Successful treatment involved antifungal medications and vitrectomy, with no adverse effects on mother or fetus.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Maternal-Fetal Medicine
Background:
- Endogenous endophthalmitis is a rare intraocular infection caused by hematogenous spread of microorganisms.
- It is associated with debilitating conditions, immunosuppression, and invasive procedures.
- Endogenous endophthalmitis during pregnancy is exceptionally rare and poses treatment challenges.
Purpose of the Study:
- To report a rare case of endogenous endophthalmitis in a pregnant patient.
- To discuss the management and outcomes of treating this condition during pregnancy.
Main Methods:
- A case presentation of a pregnant woman with endogenous endophthalmitis due to Candida albicans.
- Treatment included intravitreal and systemic antifungal agents and vitrectomy.
Main Results:
- The patient presented with endogenous endophthalmitis following complicated appendicitis, septic shock, and thrombocytopenia.
- Successful treatment led to significant anatomical and functional recovery of vision.
- No adverse maternal or fetal side effects were observed.
Conclusions:
- Endogenous endophthalmitis in pregnancy, though rare, is manageable with appropriate antifungal therapy and surgical intervention.
- Prompt treatment can lead to favorable visual outcomes without compromising maternal or fetal health.
