Mohd-Ilham Ismail, Zulkifli Mustaqim, Yaakub Maizan, Muda Rosiah, Shatriah Ismail
Department of Ophthalmology, Hospital Universiti Sains Malaysia, Kubang Kerian, MYS.
Department of Ophthalmology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, MYS.
Cureus. 2019 May 14;11(5):e4656. doi: 10.7759/cureus.4656.
Endogenous endophthalmitis is an ocular emergency, with severe sight-threatening complications. We report a case of unilateral endogenous Klebsiella pneumonia endophthalmitis with a large sub-retinal abscess in a 39-year-old lady that developed four days after presentation with sepsis secondary to urinary tract infections and pyelonephritis. Despite immediate treatment with intravenous (IV) and intravitreal antibiotics, her eye condition deteriorated. A pars plana vitrectomy was performed, and the sub-retinal abscess was removed, followed by silicone oil tamponade. Subsequently, she regained her vision to 6/36 with complete regression of the intraocular inflammation and sub-retinal abscess.
内源性眼内炎是一种眼科急症，可引发严重的视力威胁并发症。我们报告一例39岁女性单侧内源性肺炎克雷伯菌性眼内炎病例，该患者在因尿路感染和肾盂肾炎继发败血症就诊四天后出现了一个巨大的视网膜下脓肿。尽管立即给予静脉注射（IV）和玻璃体内抗生素治疗，但其眼部状况仍恶化。遂进行了玻璃体切割术，切除视网膜下脓肿，随后进行硅油填塞。之后，她的视力恢复到6/36，眼内炎症和视网膜下脓肿完全消退。
