Endogenous Endophthalmitis with an Unusual Presentation

Homayoun  Nikkhah; Kiana  Hassanpour; Hamid  Ahmadieh; Sadid  Hooshmand; Mohamad Javad  Babaki

doi:10.18502/crcp.v9i5.18449

Homayoun Nikkhah Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Kiana Hassanpour Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hamid Ahmadieh Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sadid Hooshmand Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohamad Javad Babaki Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/crcp.v9i5.18449

Keywords: Endogenous; Endophthalmitis; Hematogenous dissemination; Infectious organisms

Abstract

Endogenous endophthalmitis is caused by the hematogenous dissemination of infectiousorganisms, resulting in intraocular infection. This entity is uncommon and accounts for5–15% of all forms of endophthalmitis. Patients with compromised immune systemsare most at risk for endogenous endophthalmitis. An immunocompetent 20-year-oldman, following a recent hospitalization and ventilator-associated pneumonia (VAP),presented with blurred vision in the left eye. Fundoscopy revealed dense white-to-yellow, pus-like subfoveal material originating from the choroid, breaking through theretina, and dispersing into the vitreous. According to polymerase chain reaction (PCR)findings, the infection had a bacterial origin and caused irreversible damage to themacula.