Endogenous Aspergillus endophthalmitis in a chronic kidney disease

Fungal endogenous endophthalmitis (FEE) is an intraocular infection secondary to the fungemia, spreading through the hematogenous route. We here report a case of a 60-year-old female diagnosed with FEE and culture-proven Aspergillus fumigatus in a chronic kidney disease (CKD) patient, which is a rare and challenging condition to manage. Early diagnosis and prompt treatment are the only keys to achieve suitable outcomes. It can be achieved by a multidisciplinary approach involving nephrologists and ophthalmologists. Routine ophthalmology review in CKD patients under hemodialysis may prove to be effective in early diagnosis of the fungal endophthalmitis or even help in ruling out systemic infections.