Vitreous surgery in a case of endogenous endophthalmitis with retinal detachment Sakurako Takeda 1 , Kazuhiro Tokuda 1 , Takao Hirowatari 1 , Yasuo Ishii 2 , Masao Matsubara 1 1Dept of Ophthalmol,Daini Hosp,Tokyo Women's Med Univ 2New Vision Inst pp.449-453
Published Date 2003/4/15
DOI https://doi.org/10.11477/mf.1410101171
  • Abstract
  • Look Inside

Abstract. A 66-year-old female developed high fever. She was diagnosed with septicemia secondary to liver abscess 17 days later. She was referred to us for decreased vision in her right eye since 10 days before. Her right visual acuity was light perception. The right eye showed severe uveitis with vitreous opacity. Klebsiella pneumoniae was isolated from the blood.The intraocular leions responded well to systemic and ocular treatments. Tractional retinal detachment developed 3 months after onset. Vitrectomy led to retinal reattachment and improvement of visual acuity to 0.1. Surgically obtained specimens showed inflammatory cells and fibrin in the proliferative membrane and the vitreous. This case illustrates that vitrectomy may be effective for metastatic endophthalmitis due to Klebsiella pneumoniae.

Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院