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Bacterial subretinal abscess: a case report and review of the literature
- Source :
- Europe PubMed Central
- Publication Year :
- 2000
-
Abstract
- PURPOSE: To report a case of Klebsiella subretinal abscess with a successful visual outcome with treatment and to review the literature pertaining to focal intraocular infection in bacterial endophthalmitis. METHODS: Clinical data including medical history, findings on physical examination, blood cultures, and an abdominal computed tomographic scan were collected in a 32-year-old man with Klebsiella sepsis, liver abscesses, and a focal subretinal abscess. Ocular data including visual acuity, fundus photographs, fluorescein angiography, and ultrasound were evaluated, as were results of culture and histopathologic studies. RESULTS: Despite immediate intervention, including vitreous tap and intravitreal antibiotics, the eye deteriorated, with enlargement of the abscess. A pars plana vitrectomy was performed in which the subretinal abscess material was removed after an extensive retinectomy of the involved area in association with an endophotocoagulative barrier and intravitreal amikacin without gas or oil tamponade. Culture confirmed Klebsiella subretinal infection. A retinal detachment occurred 1 month postoperatively and was successfully repaired. Visual acuity was 20/30 and has remained stable for 14 months. CONCLUSION: Klebsiella endophthalmitis with subretinal abscess formation is a rare but devastating ocular condition. In the present case, prompt intervention with extensive retinectomy, complete abscess excision, and intravitreal antibiotic therapy resulted in unprecedented visual recovery.
- Subjects :
- Pars plana
Adult
Male
medicine.medical_specialty
genetic structures
medicine.medical_treatment
Liver Abscess
Visual Acuity
Vitrectomy
Bacteremia
Eye Infections, Bacterial
Endophthalmitis
Retinal Diseases
Ophthalmology
Klebsiella
medicine
Humans
Fluorescein Angiography
Abscess
Laser Coagulation
business.industry
Retinal detachment
Eye infection
medicine.disease
eye diseases
Surgery
Anti-Bacterial Agents
Klebsiella Infections
medicine.anatomical_structure
Drug Therapy, Combination
sense organs
Tamponade
business
Tomography, X-Ray Computed
Liver abscess
Subjects
Details
- ISSN :
- 00029394
- Volume :
- 129
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- American journal of ophthalmology
- Accession number :
- edsair.doi.dedup.....fedafe45866c1c6a139fe1e2ad0c5e33