Endogenous endophthalmitis caused by Rothia dentocariosa

We report a case of a late adolescent female who presented to us with complaints of acute, painful loss of vision in her left eye. Her visual acuity (VA) had reduced to perception of hand movements within a week. Slit lamp examination and ultrasonography revealed that the patient had endophthalmitis. She was treated with intravitreal antibiotics, pars plana vitrectomy, lensectomy and a 5000 centistoke silicone oil injection. The vitreous biopsy showed significant growth of Rothia dentocariosa on blood and chocolate agars. An infected lower mandibular tooth was identified as the infective focus and treated. Systemic evaluation did not reveal any other infections. 1 month after the final procedure, she achieved a VA of 20/60 and IOP of 11 mm Hg. The retina was attached, and the infection had completely resolved. This case of atypical endogenous endophthalmitis was managed with timely surgery and using silicone oil injection and showed a good outcome.