A rare case of pyelonephritis-associated endogenous endophthalmitis

Abstract

Endogenous endophthalmitis (EE) is the inflammation of the inner layers of the eye occurring due to intraocular colonisation of microorganisms from a pre-existing systemic septic foci. It is relatively rare and is most often associated with diabetes mellitus, liver disease, cardiac disease, malignancy, in-dwelling catheters and intravenous drug abuse. We report here a rare association of EE and pyelonephritis in a young male. The clinical condition and visual acuity improved first with topical, systemic and periocular corticosteroids, broad spectrum antibiotics, later by pars plana vitrectomy and ultimately with ureteric stenting. Prompt and multidisciplinary management along with accurate clinical history, thorough examination, and microbiological and radiological corroboration can help to prevent visual handicaps.