Delhi Journal of Ophthalmology

Bilateral Endogenous Endophthalmitis In Association with Knee

Rajwinder Kaur,1 Shallu Samria,1 Balbir Khan,2 Harijot Singh,3 Kulbir Kaur4
1Department Of Ophthalmology, Adesh Institute Of Medical Sciences And Research, Bathinda, Punjab, India.
2Department Of Ophthalmology, Adesh Medical College And Hospital, Kurukshetra, Haryana, India.
3Department Of Pediatrics, Adesh Medical College And Hospital,Bathinda, Punjab, India.
4Department Of Clinical Research, Revival Research Institute, Michigan, USA.

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Rajwinder Kaur (MS)
Department Of Ophthalmology 
Adesh Institute Of Medical Sciences and Research, Bathinda Punjab, India.
Email: rajujerry26@gmail.com


Received: 23-NOV-2020 Accepted: 22-DEC-2019 Published Online: 12-MAR-2021
DOI: https://dx.doi.org/10.7869/djo.636

Abstract
Endogenous endophthalmitis is a rare condition caused by the haematogenous spread of microorganisms from a remote infection site to the eye. Common predisposing conditions are intravenous drug use (IVDU), diabetes, malignancy, immunosuppression, chronic renal failure, parenteral nutrition or invasive medical procedures. Endogenous endophthalmitis with staphylococcal bone infection is rare but a serious condition. We describe a case of bilateral endogenous endophthalmitis in a 32 year old intravenous drug abuser who presented with knee osteomyelitis, which further get complicated to septic pulmonary emboli and infective endocarditis. A high index of suspicion is required to diagnose this condition. Early and aggressive management is the key to the favorable visual outcome.

Keywords :Endophthalmitis, Osteomyelitis, Endocarditis