case_images: PMC4808525_01
case_images: Fluffy white exudates in anterior chamber and surrounding the IOL in capsular bag.
case_images: CRIOPM2016-2365945.001.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.001.jpg
case_images: fig1
case_images: On slit lamp examination, left eye had corneal epithelial edema and fluffy white cotton ball-like exudates in the anterior chamber and the intraocular lens was surrounded by the same exudates in the capsular bag (Figure 1).
case_images: Ultrasound showing fine vitreous opacities with flat retina.
case_images: CRIOPM2016-2365945.002.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.002.jpg
case_images: fig2
case_images: Ultrasound of the eye showed fine vitreous opacities of low reflectivity with flat retina (Figure 2).
case_images: Gram-positive thin long beaded branching filaments of Nocardia.
case_images: CRIOPM2016-2365945.003.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.003.jpg
case_images: fig3
case_images: Direct microscopic examination of vitreous and anterior chamber fluid showed Gram-positive thin long beaded branching filaments and acid fast thin long filaments in modified acid fast staining (Kinyoun stain) (Figure 3).
case_images: Dry, raised, chalky white colonies of Nocardia on blood agar.
case_images: CRIOPM2016-2365945.004.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.004.jpg
case_images: fig4
case_images: On blood agar dry, raised, chalky white colonies were seen after 2 days of incubation (Figure 4).
case_images: Cloudy swelling, cotton wool spots, and scattered intraretinal haemorrhages.
case_images: CRIOPM2016-2365945.005.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.005.jpg
case_images: fig5
case_images: Anterior segment was quiet, mildly hazy vitreous and the macula was pale and cloudy looking with multiple intraretinal hemorrhages (Figure 5).
case_images: Fluorescein angiogram showing macular arteriolar occlusion with staining of the arteriolar walls along superior and inferior arcades.
case_images: CRIOPM2016-2365945.006.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.006.jpg
case_images: fig6
case_images: Fluorescein angiography showed multiple capillary nonperfusion areas (Figure 6).
case_images: OCT showing increased macular thickness.
case_images: CRIOPM2016-2365945.007.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.007.jpg
case_images: fig7
case_images: The OCT showed increased macular thickness (central foveal thickness 342 mum), hyperreflectivity of inner retinal layers corresponding to areas of retinal edema (Figure 7).
case_images: Macular edema subsided.
case_images: CRIOPM2016-2365945.008.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.008.jpg
case_images: fig8
case_images: The vision improved to counting fingers at 2 meters and the macular edema subsided (Figure 8).
case_images: Hyperdense and adherent RPE and retinal layers.
case_images: CRIOPM2016-2365945.009.jpg
case_images: PMC4808525_01_CRIOPM2016-2365945.009.jpg
case_images: fig9
case_images: On OCT, the macular thickness had decreased but the differentiation of different retinal layers was not evident and foveal centre showed hyper dense and adherent RPE and retinal layers (Figure 9).