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Background: Gonococcal ocular lesions develop most commonly due to poor hygiene habits, when the infection is transmitted by eye-hand contact; in addition, they may develop when the infection is transported to the eye as a result of hematogenous or lymphogenous spread. Purpose: To present a rare case of endophthalmitis secondary to gonococcal sepsis, and to highlight its clinical features. Material and Methods: Visual acuity assessment, comprehensive eye examination, and microbiological examination. Results: Patient’s history was significant for acute suppurative gonococcal prostatitis (with acute retention of urine, and severe sepsis with liver abscess, and suppurative tonsillitis), for which he had been treated as an in-patient at the Department of Urology of the city hospital. In addition, he had suppurative blepharitis of the left eye. A week after he was discharged from the Department of Urology, he was hospitalized to the Department of Ocular Trauma of the Filatov institute with the diagnosis of endophthalmitis in the left eye. The patient poorly responded to treatment, and clinical manifestations of endophthalmitis were becoming more and more severe. He underwent evisceration of the left eye. Conclusion: Consultations of allied health professionals and multiprofessional management of gonorrhea patients are required to prevent complications in various organs and systems, should gonococcal sepsis develop.

Background: Delays in the diagnosis of a ferrous intraocular foreign body (IOFB) have been shown to result in ocular sinerosis and subsequent loss of visual function. Purpose: To report a case of a missed ferrous IOFB with subsequent apparent ocular siderosis, visual loss and severe complications. Material and Methods: Visual acuity assessment and comprehensive eye examination were performed, and an X-ray of the eye and orbit taken. Results: A 25 year-old male patient had a history of hammer-and-chisel (metal-related) injury to the right eye and was treated conservatively. A year after the traumatic event, the eye had phacoemulsification with intraocular lens (IOL) implantation at a local clinic. Two years thereafter, the patient presented to the Filatov institute, and was diagnosed with grade 3 ocular siderosis, artifakia and rhegmatogenous retinal detachment OD. During pars plana vitrectomy, a preretinal IOFB was found and removed. Four months thereafter, the patient was re-hospitalized and received a repeat pars plana vitrectomy and 5700-cSt silicone oil tamponade of the vitreous cavity for retinal re-detachment OD. At discharge, the ophthalmoscopy and ultrasound examination showed a re-attached retina. Conclusion: The reported case of missed IOFB highlights the importance of early diagnosis and removal of IOFB to prevent siderosis and subsequent serious complications.