Author/Editor		Trpin, Simon; Gračner, Tomaž; Pahor, Dušica; Gračner, Bojan
Title		Phacoemulsification in isolated endogenous Candida albicans anterior uveitis with lens abscess in an intravenous methadone user
Type		članek
Source		J Cataract Refract Surg
Vol. and No.		Letnik 32, št. 9
Publication year		2006
Volume		str. 1581-3
Language		eng
Abstract		We report the clinical course of a 31-year-old former intravenous drug user on methadone substitution therapy who injected methadone mixed with orange juice. She developed isolated metastatic Candida albicans anterior uveitis, which was treated with adequate systemic and local antifungal therapy. The uveitis regressed, but despite adequate local and systemic treatment, a lens abscess developed. Phacoemulsification and endocapsular intraocular lens implantation were performed, and the patient recovered 20/20 visual acuity in the affected eye. In patients with a history of injection drug use, persisting intravenous drug or substitution therapy abuse must be considered. Quick diagnosis and adequate treatment can prevent the development of wide spread C albicans endophthalmitis, which has a poor visual prognosis. Early administration of antifungal and surgical therapy is crucial for achieving good functional results.
Descriptors		UVEITIS, ANTERIOR UVEITIS, ANTERIOR CANDIDA ALBICANS CANDIDA ALBICANS EYE INFECTIONS, FUNGAL LENS DISEASES METHADONE SUBSTANCE ABUSE, INTRAVENOUS PHACOEMULSIFICATION