How do you approach recommending ocular exams for asymptomatic candidemic patients considering the discordance between the IDSA and American Academy of Ophthalmology guidelines?

Endogenous endophthalmitis due to Candida sp. occurs in <1% of patients with candidemia. The IDSA 2016 guidelines for management of candidiasis outline evaluation and treatment of patients with endophthalmitis, with recommendations to perform a dilated ophthalmologic exam on all patients with candid...

Endogenous endophthalmitis from candidemia may occur in more than 0.9% of patients, the incidence previously cited by the AAO. A more recent international systematic review and meta-analysis published in CID puts the estimate somewhere between 1% and 10%, depending upon the type of ocular candidiasi...

The 2016 IDSA guidelines state, "Recent data suggest that as many as 16% of patients with candidemia have some manifestation of ocular involvement, and some of these patients will develop severe, sight-threatening endophthalmitis [70]." For years, I have wondered where the data that the 2016 IDSA gu...