title: Vitrectomy for endogenous Klebsiella pneumoniae endophthalmitis with massive subretinal abscess.
abstract: A 39-year-old man with pyogenic liver abscess had bilateral endogenous Klebsiella pneumoniae endophthalmitis. At presentation, the left eye had a localized subretinal abscess. Despite repeated intravitreal amikacin and dexamethasone injections, a subretinal abscess spread and detached all of the retina. Pars plana vitrectomy with drainage of the subretinal abscess was performed. The retina was reattached, and the patient had 5/200 vision 5 months postoperatively. Early vitrectomy with drainage of the subretinal abscess may save some eyes with endogenous Klebsiella pneumoniae endophthalmitis.
authors.affiliation: Department of Ophthalmology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
authors.forename: S S
authors.initials: SS
authors.lastname: Yarng
authors.forename: C L
authors.initials: CL
authors.lastname: Hsieh
authors.forename: T L
authors.initials: TL
authors.lastname: Chen
mesh_terms: D000038:Abscess / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000900:Anti-Bacterial Agents; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007710:Klebsiella Infections / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D008100:Liver Abscess / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D012163:Retinal Detachment / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012164:Retinal Diseases / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D014463:Ultrasonography; D014792:Visual Acuity; D014794:Visual Fields; D014821:Vitrectomy
chemical_list: D000900:Anti-Bacterial Agents