PMC4213137_01
Fundus photographs obtained at the initial examination.. Note: Yellowish-white subretinal lesions with retinal hemorrhage (arrows) can be seen in both the right (A) and the left (B) eye.
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Funduscopy revealed round yellowish-white subretinal lesions with retinal hemorrhage in both eyes (Figure 1A and B).
Fundus photograph of the left eye, and results of bacteriologic examinations.. Notes: (A) Left fundus 7 weeks after the initial examination. The visual acuity was light perception. (B) Results of samples collected on exenteration of the left eye. The left photograph shows the Gram-stain by microscope with high power field (x1,000 with oil immersion). Pseudohyphae with condiospores grew by culture of the samples taken from the left eye exenteration (arrow). The right photograph shows the green color colonies consistent with Candida albicans on CHROMagar .
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Albeit with antibiotic treatment, the lesions further deteriorated BCVA to light perception (Figure 2A). The picture of the Gram-stained sample was taken from this culture (Figure 2B, left). The picture of the agar plate shows the colonies that are green in color on the CHROMagar  suggesting the species of C. albicans based on its color (Figure 2B, right).
Fundus photographs of the right eye.. Notes: (A) Ten weeks after the initial examination. The subretinal abscess expanded, approaching the central fovea, and visual acuity was 2/200. (B) Twelve months after combined cataract and vitreous surgeries. The lesions healed under silicone oil, and visual acuity was 4/200.
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The subretinal abscess in the right eye expanded, approaching the central fovea (Figure 3A), and BCVA decreased to 2/200. Systemic administration of the antifungal agent was continued after surgery, and the lesions healed under silicone oil (Figure 3B).