Bilateral Bacterial Endogenous Endophthalmitis following Haemodialysis in a Diabetic Patient: A Case Report

Abstract

Endogenous endophthalmitis, a severe infection originating from the bloodstream, can lead to blindness and is particularly dangerous for immunocompromised patients, including those with diabetes, cancer, or undergoing chemotherapy. This condition differs from exogenous endophthalmitis, which arises from external sources such as postoperative complications or trauma. Hereby, the authors present a case report of a rare instance of bilateral bacterial endogenous endophthalmitis in a 45-year-old male with multiple systemic co-morbidities. The patient experienced vision loss and photophobia; further investigation revealed septicaemia linked to an in-situ haemodialysis catheter. Prompt treatment with intravenous antibiotics is crucial, and vitrectomy may also be considered. The present case is unique because, despite the infection originating in the bloodstream, the patient developed ocular symptoms first. A retrospective analysis revealed the primary source of the infection, highlighting the importance of a thorough examination.

Keywords

• blood-borne
• enucleation
• exogenous
• vitrectomy