Detection of Candida Endophthalmitis in a Newborn Using Handheld Spectral-Domain Optical Coherence Tomography

In a newborn with candidemia, two retinal lesions were seen without external inflammatory signs or reaction in the anterior chamber or vitreous. However, handheld spectral domain-optical coherence tomography (HH SD-OCT) images show that one of the retinal lesions had a “firework display” projecting...

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Bibliographic Details
Published in:Case reports in ophthalmology 2018-10, Vol.9 (3), p.439-443
Main Authors: Dulanto-Reinoso, Carlos M., Martinez-Castellanos, Maria Ana
Format: Article
Language:English
Subjects:
Babies
Candida
Case Report
Case reports
Endophthalmitis
Infant
Infections
Medical imaging
Newborn
Newborn babies
Optical coherence tomography
Patients
Pediatrics
Retina
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Summary:In a newborn with candidemia, two retinal lesions were seen without external inflammatory signs or reaction in the anterior chamber or vitreous. However, handheld spectral domain-optical coherence tomography (HH SD-OCT) images show that one of the retinal lesions had a “firework display” projecting to the vitreous that was not identified in indirect ophthalmoscopy. This finding suggested a Candida endophthalmitis. HH SD-OCT findings allowed us to make an accurate diagnosis and, therefore, modified the decision-making process in the treatment of the pathology.
ISSN:1663-2699
1663-2699
DOI:10.1159/000493679