Bacillus cereus panophthalmitis associated with injection drug use

We report a case of rapidly progressive vision loss in a young woman with a history of injection drug use. Subsequent enucleation of the affected eye was done and Bacillus cereus grew on tissue culture. B. cereus is a rare cause of endogenous endophthalmitis due to hematogenous seeding of the vitreous in the setting of injection drug use.