Abstract
Objective: To explore the clinical characteristics of prostatic abscess and provide diagnostic and therapeutic references for clinical practice.
Methods: A retrospective analysis of the clinical data from a patient treated at our institution for a prostatic abscess complicated by endogenous endophthalmitis was performed. The relevant literature concerning prostatic abscesses and endogenous endophthalmitis was reviewed and synthesized.
Results: The patient, who was consistently administered sensitive antibiotic therapy, achieved successful resolution of a prostatic abscess through transurethral incision and drainage. However, despite receiving a series of treatments including pars plana vitrectomy, lensectomy, and multiple vitreous injections, the patient experienced irreversible loss of vision in the left eye as a consequence of endogenous endophthalmitis.
Conclusion: Prostate abscess in the early stage presents with nonspecific clinical symptoms. Clear diagnosis can be achieved through transrectal ultrasound and magnetic resonance imaging（MRI）, which are of great value. Treatment should be selected based on the local characteristics of the abscess and the overall condition of the patient. For patients with ineffective conservative treatment, timely surgical intervention is necessary. Endogenous endophthalmitis caused by prostate abscess manifests early with a lack of specificity and poor prognosis. Systemic susceptibility factors are the main pathogenic factors for endogenous endophthalmitis. Timely and effective intravitreal antibiotic injection and combined vitrectomy surgery can maximize the preservation of visual function.