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Neonatal Endogenous Endophthalmitis: A Case Report
Mustafa A Alhamoud1, Ghadah H Alnosair2, Hassan Y Alhashim3
1Ophthalmology, King Fahd Hospital of the University, Dammam, SAU.
Cureus
|March 1, 2022
Summary
This case report details a rare endogenous endophthalmitis in an infant, leading to exudative retinal detachment. Early detection and management are crucial for preventing vision loss in this severe intraocular infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pediatrics
Background:
- Endogenous endophthalmitis is a rare but severe intraocular infection.
- Prompt diagnosis and management are critical for visual preservation.
Observation:
- A one-month-old preterm infant presented with left eye discharge, swelling, and proptosis.
- Clinical examination revealed corneal edema and an obscured posterior segment.
- B-scan ultrasound showed vitreous infiltrates and subretinal fluid.
Findings:
- Intravitreal paracentesis identified *Pseudomonas aeruginosa*, confirming endogenous endophthalmitis.
- The condition progressed to exudative retinal detachment despite initial treatment.
- Subsequent imaging showed resolving detachment with signs of a shrunken eye and ocular wall thickening.
Implications:
- This case highlights the challenges in diagnosing and managing endogenous endophthalmitis in neonates.
- A high index of suspicion is vital for early intervention to prevent devastating visual outcomes.
- Ocular prosthesis referral was necessary due to irreversible ocular changes.
