The authors report a case of bilateral endogenous fungal endophthalmitis occurred after decompression nephrostomy due to secondary obstructive pyelonephritis the treated nephrolithiasis initially with intravitreal voriconazole (100 mg / 0.1 ml) but evolved without therapeutic response requiring the posterior vitrectomy (23G).
(A) Fundus photography of the right eye showing a circumscribed yellow-orange choroidal mass located along the inferotemporal vascular arcade. (B) Optical coherence tomography (OCT) demonstrating a dome-shaped choroidal mass with subretinal fluid, retinal pigment epithelium alterations, cystoid macular edema, and outer retinal damage.
Barbosa,Italo Antunes França and Wanzeler,Ana Cláudia Viana and Gomes,Higor Alexandre Pavoni and Lúcio,Kellen Cristiane do Vale and Jorge,Eliane Chaves and Schellini,Silvana Artioli. Bilateral endogenous fungal endophthalmitis secondary obstructive pyelonephritis. Rev Bras Oftalmol. [online]. 2017, vol. 76, n. 1, [cited 2026-10-22], pp.33-36. Available from: <https://www.rbojournal.org/en/article/bilateral-endogenous-fungal-endophthalmitis-secondary-obstructive-pyelonephritis/>. ISSN 0034-7280.
