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Fungal choroidal abscess in a case of aggressive retinopathy of prematurity

Fungal choroidal abscesses are rarely reported entities on routine retinopathy of prematurity screenings done on neonates. With the increasing use of broad-spectrum intravenous antibiotics on preterm neonates during their stay in neonatal intensive care unit who are already immunodeficient, we hereby bring this case into notice so as to keep fungal etiologies as a close differential in comparison to bacterial choroidal abscesses, the latter being more common in the older age group. The late diagnosis of fungal choroidal abscess and the lack of systemic treatment for the same could possibly lead to acquired hydrocephalus and other systemic complications.