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Anvari P, Mirshahi R, Sedaghat A, Ghasemi Falavarjani K. “Inverted Snowing-Cloud” Sign in Endogenous Candida Endophthalmitis. JOVR [Internet]. 2022Apr.29 [cited 2024Apr.27];17(2):303–305. Available from: https://knepublishing.com/index.php/JOVR/article/view/10807

https://doi.org/10.18502/jovr.v17i2.10807

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authors

  • Pasha Anvari

    Pasha Anvari

    Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran, University of Medical Sciences, Tehran, Iran
    https://orcid.org/0000-0002-3765-4206
  • Reza Mirshahi

    Reza Mirshahi

    Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran, University of Medical Sciences, Tehran, Iran
  • Ahad Sedaghat

    Ahad Sedaghat

    Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran, University of Medical Sciences, Tehran, Iran
  • Khalil Ghasemi Falavarjani

    Khalil Ghasemi Falavarjani

    Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran, University of Medical Sciences, Tehran, Iran

Published Date

  • Apr 29, 2022
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

“Inverted Snowing-Cloud” Sign in Endogenous Candida Endophthalmitis

Journal of Ophthalmic and Vision Research (JOVR) / April–June 2022, Volume 17, Issue 2 / Pages 303–305

Abstract

Candida spp. is the most common cause of endogenous fungal endophthalmitis. The diagnosis of this rare disease is based on clinical findings supported by positive blood culture. Recently, it has been shown that optical coherence tomography (OCT) characteristic findings are beneficial in making a correct diagnosis of fungal infection in cases with endogenous endophthalmitis. The current photo-essay aims to highlight the role of OCT in diagnosis of Candida endogenous endophthalmitis where OCT imaging of one of the retinal lesions disclosed a pre-retinal hyper reflective lesion with overlying punctate vitreous opacities. We propose “inverted snowing-cloud” sign for this OCT pattern considering the resemblance of the vitreous opacities to snowflakes.

Keywords:

Candida, Endogenous Endophthalmitis, Optical Coherence Tomography

References
1. Vaziri K, Pershing S, Albini TA, Moshfeghi DM, Moshfeghi AA. Risk factors predictive of endogenous endophthalmitis among hospitalized patients with hematogenous infections in the United States. Am J Ophthalmol 2015;159:498–504.

2. Ness T, Pelz K, Hansen LL. Endogenous endophthalmitis: microorganisms, disposition and prognosis. Acta Ophthalmol Scand 2007;85:852–856.

3. Sallam A, Lynn W, McCluskey P, Lightman S. Endogenous Candida endophthalmitis. Expert Rev Anti Infect Ther 2006;4:675–685.

4. Invernizzi A, Symes R, Miserocchi E, Cozzi M, Cereda M, Fogliato G, et al. Spectral domain optical coherence tomography findings in endogenous Candida endophthalmitis and their clinical relevance. Retina 2018;38:1011–1018.

5. Zhuang H, Ding X, Gao F, Zhang T, Ni Y, Chang Q, et al. Optical coherence tomography features of retinal lesions in Chinese patients with endogenous Candida endophthalmitis. BMC Ophthalmol 2020;20:52.