Abstract
Intravenous heroin abuse in persons aged 12 or older has nearly doubled between the years of 2002 and 2012.1 Intravenous drug users (IVDU) are a high-risk group for developing endogenous fungal endophthalmitis (EFE), with Candida albicans being the most commonly identified causative organism.2 EFE is a potentially blinding disease in which the causative organism reaches the eye through hematogenous dissemination. The frequency of chorioretinitis and endophthalmitis in patients with documented fungemia ranges from 2–26% and 0–6%, respectively.3 Factors contributing to poor visual outcomes include macular involvement, subretinal and choroidal neovascularization, retinal detachment, and insufficient or delayed treatment.4,5 However, to our knowledge, this is the first case series characterizing retinal neovascularization as a potentially blinding complication of EFE in IVDU.
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