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Early vitreous surgery was effective in a case of bacterial endophthalmitis metastatic from liver abscess Masashi Mimura 1 , Takatoshi Maeno 2 , Yuriko Yoshioka 1 , Takaki Satou 1 , Eisuke Ishizaki 1 , Syouta Kojima 1 , Masahiro Minami 1 , Tsunehiko Ikeda 1 1Dept of Ophthalmol, Osaka City Gen Hosp 2Dept of Ophthalmol, Osaka Med Coll pp.785-790
Published Date 2007/5/15
DOI https://doi.org/10.11477/mf.1410101626
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Abstract. Purpose:To report a case of bacterial metastatic endophthalmitis from liver abscess that was effectively treated by early vitreous surgery. Case:A 65-year-old woman developed acute fever and mental disturbance. She was diagnosed with liver abscess and was treated with systemic antibiotics. On day 4 of treatment, she noted pain and blurring in her right eye. Her corrected visual acuity was counting fingers right and 0.5 left. Her right eye showed hypopyon, vitreous opacity and retinal hemorrhages, leading to the diagnosis of endogenous endophthalmitis. Clinical Course:She underwent total vitrectomy and lensectomy the same day. As intraopetative finding, the right eye showed retinal necrosis peripheral to the equator in the temporal sector. Klebsiella pneumoniae was isolated from vitreous specimen. Endophthalmitis subsided after surgery, resulting in visual acuity of 0.7 nine months later. Conclusion:Endophthalmitis in the present case was interpreted as metastatic from liver abscess. This case illustrates that prompt vitreous surgery may be effective for bacterial metastatic endophthalmitis.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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

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