Endogenous Klebsiella panophthalmitis: Atypical Presentation†
Yanin Suwan MD*, Passorn Preechawai MD*
Affiliation : † This study was presented in part of the Cutting Edge 2007, meeting of Oculoplastics Association of India & Asia Pacifi c Society of Ophthalmic Plastic and Reconstructive Surgery, December, 14-16, 2007 Hyderabad, India * Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
Endogenous endophthalmitis caused by K. pneumoniae was considered to be a rare cause of endogenous endophthalmitis. Most of the patients had prior medical conditions, and diabetes is the most common underlying condition. Patients with a K. pneumoniae liver abscess are at risk of developing endogenous Klebsiella pneumoniae endophthalmitis (EKE). Clinical manifestation of K. pneumoniae endophthalmitis are unique with posterior chamber becomes full of pus while anterior segment seem quiet. The authors presented a case of extremely rare presentation of endogenous bacterial endophthalmitis, who presented with choroidal mass. After receiving pars plana vitrectomy and intravitreal antibiotic injection, clinical condition improved. Despite aggressive treatment, the fi nal visual outcome was generally poor.
Keywords : Panophthalmitis, Endogenous Klebsiella endophthalmitis, Subretinal abscess, Metastatic endophthalmitis
