Fungal (Candida) endophthalmitis refractory to standard therapy. Recent cataract surgery including vitreous loss leading to secondary glaucoma s/p bleb complicated with bleb failure and revision, choroidals, and persistent inflammation worsening despite topical and oral steroids in the left eye who underwent pars plana vitrectomy, vitreous and aqueous tap, intravitreal antibiotics, anterior chamber washout to the left eye. There are post-treatment findings in the left eye consisting of lensectomy and silicone oil injection. There is evidence of left retinal detachment with a collection of subretinal silicone oil medially. The retina enhances diffusely, as does the left ciliary body complex and uvea. There is also mild swelling and hyperenhancement of the left lacrimal gland, but no evidence of retrobulbar abnormal enhancement. The left globe is slightly smaller than the right globe. There is a right lens implant. The right orbital contents are otherwise unremarkable. There is no evidence of abnormal intracranial enhancement, abscess, mass, or acute infarction. There is mild nonspecific cerebral white matter T2 hyperintensity, which may represent chronic small vessel ischemic disease. The ventricles and sulci are mildly prominent due to cerebral volume loss. There is no midline shift or herniation.
Findings compatible with left endophthalmitis and related post-treatment findings with retinal detachment with subretinal collection of silicone oil medially. However, no retrobulbar or intracranial extension of the infectious process is apparent.