title: Bilateral endogenous bacterial panophthalmitis.
abstract: We present a case of meningitis with bilateral endogenous bacterial panophthalmitis in a previously healthy individual. The management of this ocular condition is unclear, and the prognosis is poor. The patient was admitted to the Clinic of Eye Diseases after a 9-day treatment with systemic antibiotics with a complete systemic recovery but impaired vision of both eyes. Functional vision was restored in the better eye with intravitreal vancomycin and pars plana vitrectomy. Nevertheless, after the removal of silicone oil, phthisis bulbi began to develop. Better outcomes could be expected if bacteremic patients were examined routinely by an ophthalmologist and, in case of endogenous bacterial endophthalmitis, treated with intravitreal antibiotics.
authors.affiliation: Department of Ophthalmology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. krepste@gmail.com
authors.forename: Lina
authors.initials: L
authors.lastname: Krėpštė
authors.forename: Reda
authors.initials: R
authors.lastname: Žemaitienė
authors.forename: Valerijus
authors.initials: V
authors.lastname: Barzdžiukas
authors.forename: Arūnas
authors.initials: A
authors.lastname: Miliauskas
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications* / Q000188:drug therapy; D010202:Panophthalmitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents