Successful management of Pseudomonas endogenous endophthalmitis

A 38-year-old man acquired a Pseudomonas aeruginosa wound infection after transplant nephrectomy. After an initial response to therapy, Pseudomonas sepsis developed, and he was readmitted to the hospital. Two days after admission, blurred vision developed. Ocular examination revealed a severe vitritis and exudate in the pupillary space on the right side. Endogenous endophthalmitis was suspected, and a diagnostic vitreous aspiration yielded P aeruginosa on culture. The patient was treated with intravitreal, subconjunctival, and topical antibiotics as well as periocular steroids, and was able to achieve useful vision before his death from his systemic illness.