Endogenous Klebsiella endophthalmitis--a case series

Nine eyes of 7 patients with endogenous Klebsiella endophthalmitis are presented. Five patients were diabetic and 4 had sepsis arising from the hepatobiliary system, one from the urinary tract and another from the lung. The most classical sign of pupillary hypopyon was present in 5 eyes. Five eyes were initially misdiagnosed and treated as inflammatory uveitis. Five eyes finally had no light perception, one eye had 6/60, another had 6/36 and two eyes of one patient recovered 6/6 vision. The successful outcome of this patient achieving 6/6 vision in either eye can be partly attributed to an early diagnosis and appropriate management. A high index of suspicion may improve visual outcome in such cases.