A Case of the Bilateral Metastatic Endophthalmitis

ABSTRACT

Metastatic endophthalmitis (also called endogenous endophthalmitis) is ther infection of intraocular tissues resulting from hematogenous spread of pathogenic microorganisms to the eye. We experienced a case of bilateral Klebsiella pneumonia endophthalmitis in treated diabetic patient. Blood culture was negative and identification of a remote focus of infection was failed. In spite of vitrectomy, lensectomy and aggressive antibiotic therapy, both eyes progressed to phthisis state. We reviewed the available literatures regarding this uncommon disease.