Two Cases of Endogenous Endophthalmitis

ABSTRACT

Bacterial endophthalmitis remains an uncommon, but devastating complication of ocular surgery, trauma, and systemic infection. Most cases develop from an exegenous source and are introduced at the time of ocular surgery or penetrating trauma to the eye. Hematogenous spread of bacterial infection to the eye may also result in bacterial endophthalmitis. But, endogenous endophthalmitis caused by gram-negative bacteria in debilitated or immunocompromised patients and drug abusers has become well recognized in recent years. We report cases of endogenous Klebsiella pneumoniae endophthalmitis associatied with sepsis in a poor controlled diabetic patient and Streptocpccus pyogenes endophthalamitis associated with transurethral laser-induced prostatectomy of benign prostatic hypertrophy in a pneumonia patient.