PMC6181112_01
Photographs of the right eye on days 1 and 17.. Notes: Slit-lamp photographs (A, B, D) and a fundus photograph (C). On the first visit, a white clumped mass (white arrow head) (A), iris synechia (yellow arrow head), and inflammatory cells were seen in the anterior chamber (B), and no inflammation was seen in the posterior segment (C). After treatment, the anterior chamber showed no inflammation or white mass (D).
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At first presentation, best-corrected visual acuity (BCVA, measured with a standard Japanese visual acuity chart and converted to Snellen visual acuity) and intraocular pressure (IOP) in the right eye were 20/20 and 17 mmHg, but slit-lamp biomicroscopy revealed a white clump of 3 mm diameter, anterior inflammatory cells, and an iris posterior synechia in the anterior segment (Figure 1A and B). There was no inflammation in the posterior segment (Figure 1C). At 14 days, the endophthalmitis was resolved (Figure 1D) and the subjective symptoms had disappeared.
Anterior segment at recurrence and at the last visit.. Notes: A white clumped mass (white arrow head), iris nodule (yellow arrow head), iris synechia (red arrow head), and inflammatory cells were seen in the anterior chamber at recurrence (A). At the last visit, the inflammation and the mass were resolved, although the iris nodule remained (B).
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Slit-lamp biomicroscopy showed reappearance of a white clump in the anterior segment, anterior inflammatory cells, large iris nodules, fibrin formation, and a posterior synechia (Figure 2A). The ocular inflammation by fungal endophthalmitis was gradually resolved with contraction of the clump after 14 days (Figure 2B), although the iris nodules remained.