Bilateral Asymptomatic Cryptococcal Retinitis without Choroiditis or Vitritis

A visually asymptomatic 36-year-old man with HIV/AIDS (CD4: 4) was diagnosed with Cryptococcus gattii meningitis. He received 1 month of intravenous amphotericin and flucytosine followed by oral fluconazole with significant clinical improvement. Multifocal elevated circular retinal lesions without choroiditis or vitritis were evident bilaterally (Fig 1). OCT demonstrated preserved retinal architecture beyond the domed lesions with intraretinal speckled reflection. The fovea was spared bilaterally, consistent with uncorrected 20/20 vision.
Source: Ophthalmology - Category: Opthalmology Authors: Tags: Pictures & Perspectives Source Type: research