A Case of Endogenous Endophthalmitis in a Patient with Diabetic Retinopathy.

Han,  Chang Hee; Yoon,  Ji Sung; Mok,  Ji O; Kim,  Yeo Joo; Park,  Hyeong Kyu; Kim,  Chul Hee; Kim,  Sang Jin; Byun,  Dong Won; Suh,  Kyo Il; Yoo,  Myung Hi; Kim,  Jun Sun

Case Report

Korean Diabetes Journal 2003;27(4):367-372.
Published online August 1, 2003.

A Case of Endogenous Endophthalmitis in a Patient with Diabetic Retinopathy.

Chang Hee Han, Ji Sung Yoon, Ji O Mok, Yeo Joo Kim, Hyeong Kyu Park, Chul Hee Kim, Sang Jin Kim, Dong Won Byun, Kyo Il Suh, Myung Hi Yoo, Jun Sun Kim

¹Department of Internal Medicine, College of Medicine, Soonchunhyang University, Chunan, Korea.
²Department of Opthalmology, College of Medicine, Soonchunhyang University, Chunan, Korea.

Abstract

Infectious endogenous endophthalmitis can occur by entrance of a pathogenic microorganism into the eye from various primary infection sites other than the eye. Although relatively rare, it results in visual loss frequently in spite of early diagnosis and treatment. It occurs in the process of systemic infection and its underlying conditions are diabetes, advanced liver disease, and immune suppressive state or drug abuse. We report a case of a 51-year old man with proliferative diabetic retinopathy and endogenous endophthalmitis caused by S. aureus from a skin infection. The ocular symptoms improved after systemic and intravitreal antibiotic therapy but visual loss could not be prevented. In conjunction with this case, we review the available literatures and stress the seriousness of this disease when concurrent in diabetic patients.

Key Words: Diabetes mellitus, Endogenous endophtalmitis