Loading...
Candidal chorioretinitis and endophthalmitis are well-recognized complications of candidemia, leading the Infectious Diseases Society of America to recommend routine ophthalmologic examination of all candidemic patients. However, due to a decline in ocular candidiasis after the introduction of azole agents, other groups (including the American Academy of Ophthalmology) now recommend ophthalmologic screening only for symptomatic patients. Since 2016, candidemia has been increasingly managed with echinocandins (an antifungal class with poor intraocular penetration). To examine the potential effect on risk for ocular complications, investigators at one institution undertook a retrospective review of patients with Candida-positive blood culture…