Purpose: Description of ocular involvement in a case of disseminated nocardiosis.
Methods: Case report of an immunosuppressed patient displaying a unilateral extramacular choroidal lesion presumed to be due to nocardia species. The patient received sulfonamide treatment for a culture-proven generalized nocardia infection.
Results: During follow-up, demarcation, resolution, and secondary development of macular pucker with vitreoretinal traction and macular edema was observed. Visual acuity of the affected eye recovered from initially 20/100 to 20/32 at the end of follow-up.
Conclusion: Early and appropriate treatment of ocular endogenous nocardiosis can result in a favorable outcome.