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Published on: December 7, 2016
An Atypical Case of Exogeneous Endophthalmitis after Intravitreal Injection Presenting with Roth Spots
Özge Yanık1, Sibel Demirel1, Figen Batıoğlu1
1Department of Ophthalmology, Ankara University School of Medicine, Ankara, Turkey.
Purpose:
To report an atypical case of exogeneous endophthalmitis presenting with Roth spots.
Case:
A 67-year-old man presented with decreased vision, mild pain, and discomfort in his left eye 12 days after an intravitreal aflibercept injection. Best-corrected visual acuity was 20/200, and there were +3 anterior chamber cells. On fundus examination, multiple intraretinal hemorrhages with a central white core resembling a Roth spot were observed. Intravitreal antibiotic injections were performed, and a vitreous sample was taken. Although post-intravitreal injection history was available, full systemic screening was planned to rule out endogenous endophthalmitis because of the presence of these Roth spots. Vitrectomy was performed and methicillin-sensitive coagulase-negative Staphylococcus was detected on culture.
Conclusion:
Although the presence of Roth spots is an unexpected finding in post-injection endophthalmitis, it was nevertheless demonstrated in our case. For this reason, it should be kept in mind that Roth spots can be encountered in bacterial endophthalmitis.
