Effect of vitrectomy on epiretinal membranes after endogenous fungal endophthalmitis.

Pars plana vitrectomy was used to remove proliferative membranes caused by endogenous fungal endophthalmitis in 3 patients (3 eyes). Tractional retinal detachment was present in all. In 2 eyes, a fibrovascular membrane originated in the optic nerve head and was connected to a full-thickness chorioretinal scar. In the other, a thick preretinal membrane was found in the macula, with total retinal detachment. In all eyes, the epiretinal membrane was successfully removed and the retina reattached. Visual outcome depended on the site of the chorioretinal scar. We advocate pars plana vitrectomy as the method of choice for tractional retinal detachment following fungal endophthalmitis.