A 60‐year‐old female presented with sudden painful visual loss and photophobia in left eye (LE) since 15 days. LE had undergone cataract surgery eight months back. Visual acuity was 6/6 in right eye, and no perception of light (PL) in LE. Right eye was unremarkable, whereas LE had congested scleral vessels [Fig. 1a and b]. Anterior chamber showed intense inflammation with perilenticular fluffy exudates. Vitreous cavity was full of yellowish exudates with subretinal exudation seen hazily with ophthalmoscope. Sonography of LE showed vitreous exudates, shallow retinal detachment, and periocular exudation around the optic nerve. Infective sclerouveitis/panophthalmitis was presumed. Investigations revealed neutrophilia (~85%), raised ESR (78 mm/h), and a lung mass/large nodule in left lung [Fig. 1c]. After discussion with the pulmonologist, Contrast Enhanced Computed Tomography (CECT) chest and orbits, and Cytoplasmic antineutrophil cytoplasmic antibodies (c‐ANCA) were ordered. Intensive antifungal regime was started with oral indomethacin suspecting pulmonary aspergilloma‐related endogenous infection.
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