Candida

A 52-year-old previously healthy patient was admitted to the ICU with a COVID-19 infection and was diagnosed with endogenous endophthalmitis due to candidemia and retinal detachment in the left eye. Although the patient had a poor visual prognosis and the procedure was expected to be challenging, it was decided to proceed with surgery to maintain vision, even if limited, and to preserve the integrity of the eyeball. The operation began with phacoemulsification and intraocular lens implantation, followed by a core vitrectomy, vitreous base shaving, and bimanual dissection of a dense, adherent pre-retinal plaque. The surgery concluded with perfluorocarbon injection, fluid-air exchange through a peripheral retinal break, silicone oil tamponade, and intravitreal administration of antibiotics and antifungal agents. Fortunately, the patient showed an improvement in visual acuity to count fingers at one meter postoperatively.