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Iris abscess as an unusual presentation of endogenous endophthalmitis in a patient with bacterial endocarditis
Krista M Ramonas1, Benjamin D Freilich
1Department of Ophthalmology, Mount Sinai School of Medicine, New York, New York 10029, USA. krista.ramonas@mssm.edu
Purpose:
To report the clinical findings and management of a case of endogenous endophthalmitis in a patient with bacterial endocarditis presenting with a septic metastasis to the iris.
Design:
Observational case report.
Methods:
Review of clinical findings and treatment.
Results:
A 37-year-old intravenous drug user hospitalized with bacterial endocarditis secondary to methicillin-sensitive Staphylococcus aureus bacteremia presented with a painful red left eye, hypopyon, and iris abscess. Roth spots were noted in the fundus of the right eye. Aqueous culture was positive for methicillin-sensitive S aureus. The patient was treated with intravitreal, topical, and intravenous antibiotics. The hypopyon and iris abscess resolved within 2 weeks, and the patient achieved a final visual acuity of 20/25 in the left eye.
Conclusions:
Septic metastasis to the iris is a rare occurrence. To our knowledge this is the first reported case of an iris abscess secondary to bacterial endocarditis.