title: Successful treatment of endogenous Klebsiella pneumoniae endophthalmitis: a case report.
abstract: BACKGROUND
  Klebsiella pneumoniae endophthalmitis is rare and despite immediate management, visual outcome is generally poor. We report a case of endogenous K. pneumoniae endophthalmitis that was treated successfully.
  
  
  METHODS
  An 80-year-old woman with a liver abscess was diagnosed at an early stage with endogenous K. pneumoniae endophthalmitis. She underwent par plana vitrectomy and lensectomy within 8 h after the onset of ocular symptoms. Secondary implantation of a sulcus-fixated intra-ocular lens (IOL) was performed 12 months later. Final visual acuity OS was 20/20.
  
  
  CONCLUSIONS
  The present case highlights the potential benefit of early and broad vitrectomy with lensectomy in the management of endogenous K. pneumoniae endophthalmitis.
authors.affiliation: Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan. ishii_k@md.tsukuba.ac.jp
authors.forename: Kotaro
authors.initials: K
authors.lastname: Ishii
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hiraoka
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Kaji
authors.forename: Norishige
authors.initials: N
authors.lastname: Sakata
authors.forename: Yuta
authors.initials: Y
authors.lastname: Motoyama
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Oshika
mesh_terms: D000369:Aged, 80 and over; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D007711:Klebsiella pneumoniae; D007908:Lens, Crystalline / Q000601:surgery; D014821:Vitrectomy