title: Irido-lenticular abscess as the initial sign of Candida albicans endogenous endophthalmitis.
abstract: A-33-year-old man presented with 9 days of conjunctival erythema, pain, and worsening vision in the left eye. Anterior segment examination was significant for a well-defined, cream-colored iridociliary mass. Ultrasound biomicroscopy demonstrated an iris lesion with ciliary body and lenticular involvement. The authors performed a pars plana vitrectomy and lensectomy with an iris biopsy. Culture of the vitreous cassette and iris mass yielded a diagnosis of Candida albicans endophthalmitis. Clinicians encountering an iris nodule with lenticular involvement, even in an immunocompetent adult, are urged to consider a diagnosis of an endogenous endophthalmitis secondary to C. albicans.
authors.affiliation: Department of Medicine, SUNY Upstate Medical University, Syracuse, New York, USA.
authors.forename: Puneet S
authors.initials: PS
authors.lastname: Braich
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Chang
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Albini
authors.forename: Amy C
authors.initials: AC
authors.lastname: Schefler
mesh_terms: D000038:Abscess / Q000382:microbiology*; D000328:Adult; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000150:complications*; D002924:Ciliary Body / Q000382:microbiology; D009877:Endophthalmitis / Q000382:microbiology*; D006801:Humans; D007499:Iris Diseases / Q000382:microbiology*; D008297:Male