title: Traumatic endophthalmitis presenting as isolated retinal vasculitis and white-centered hemorrhages: Case report and review of literature.
abstract: The article reports a case and review of the literature of endophthalmitis presenting as isolated retinal vasculitis. A 26-year-old male was observed to have white-centered retinal hemorrhages and retinal vasculitis following an occult scleral perforation. At presentation, the visual acuity was 20/60. With clinical suspicion of early endophthalmitis, he underwent wound exploration, scleral tear repair, vitreous biopsy and administration of intravitreal antibiotics. Microbiology evaluation revealed significant presence of methicillin-resistant coagulase-negative Staphylococcus epidermidis. Final visual acuity improved to 20/20 at 6 weeks postoperatively. Literature search revealed eight similar cases, all of them due to Staphylococcus species. Retinal vasculitis and white-centered retinal hemorrhages can be a presenting sign of early endophthalmitis, especially with non-fulminant pathogens like S. epidermidis.
authors: Srimati Kanuri Santhamma Centre for Vitreoretinal Diseases, Hyderabad Eye Research Foundation, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India.
authors: Nidhi
authors: N
authors: Relhan
authors: Subhadra
authors: S
authors: Jalali
authors: Suma
authors: S
authors: Nalamada
authors: Vivek
authors: V
authors: Dave
authors: Annie
authors: A
authors: Mathai
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005130:Eye Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D031300:Retinal Vasculitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents