전립선암 환자에서 로봇을 이용한 복강경 근치적 전립선적출술 후 발생한 양안 칸디다 안내염

• 영문명: Bilateral Candida albicans Endophthalmitis after Robot-Assisted Laparoscopic Radical Prostatectomy in a Patient with Prostate Adenocarcinoma
• 발행기관: 대한안과학회
• 저자명: 신용태 장주현 신재필 김인택 박동호,Yong Tae Shin, MD, Joo Hyun Chang, MD, Jae Pil Shin, MD, PhD, In Taek Kim, MD, PhD,Dong Ho Park, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number11, 1708~1711쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.11.15

영문 초록

Purpose: To report a case of bilateral Candida albicans endophthalmitis after robot-assisted laparoscopic radical prostatectomy (RALP) in a patient with prostate adenocarcinoma. Case summary: A 61-year-old male patient had RALP for prostate adenocarcinoma. Four days after the surgery, the patient had a fever and pancytopenia. Two weeks after the surgery, the patient complained of decreased visual acuity in both eyes. Best-corrected visual acuity (BCVA) was counting fingers at 60 cm in the right eye and 20/63 in the left eye. The fundus examination showed vitreous opacity and yellow circumscribed chorioretinal lesions in both eyes. The blood and urine cultures were negative. An intravitreal voriconazole injection (100 μg/0.1 ml) was given in both eyes. However, the vitritis worsened, and BCVA decreased to counting fingers at 30 cm in the right eye and 60 cm in the left eye. Thus, combined phacoemulsification and 23-gauge microincisional vitrectomy surgery with a silicone oil injection was performed in both eyes at 1-week intervals. The vitrectomy sample culture was positive for Candida albicans in both eyes. Four months after the vitrectomy, BCVA was 20/100 in both eyes without subretinal lesions. Conclusions: Clinicians should be aware that bilateral Candida albicans endophthalmitis could be complicated by RALP in a patient with prostate adenocarcinoma or with other risk factors.

키워드

Candida albicans, Endogenous endophthalmitis, Prostate adenocarcinoma, Robot-assisted laparoscopic radical prostatectomy