Successful treatment of endogenous Klebsiella pneumoniae endophthalmitis: a case report.
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.
Ishii
Kotaro
K
Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan. ishii_k@md.tsukuba.ac.jp
Hiraoka
Takahiro
T
Kaji
Yuichi
Y
Sakata
Norishige
N
Motoyama
Yuta
Y
Oshika
Tetsuro
T
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