Abstract
BackgroundKlebsiella 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. Case 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.
Similar content being viewed by others
References
Okada AA, Johnson RP, Liles WC, D’Amico DJ, Baker AS (1994) Endogenous bacterial endophthalmitis. Report of a ten-year retrospective study. Ophthalmology 101:832–838
Margo CE, Mames RN, Guy JR (1994) Endogenous Klebsiella endophthalmitis. Report of two cases and review of the literature. Ophthalmology 101:1298–1301
Yang CS, Tsai HY, Sung CS, Lin KH, Lee FL, Hsu WM (2007) Endogenous Klebsiella endophthalmitis associated with pyogenic liver abscess. Ophthalmology 114:876–880
Yoon YH, Lee SU, Sohn JH, Lee SE (2003) Result of early vitrectomy for endogenous Klebsiella pneumoniae endophthalmitis. Retina 23:366–370
Wiskur BJ, Hunt JJ, Callegan MC (2008) Hypermucoviscosity as a virulence factor in experimental Klebsiella pneumoniae endophthalmitis. Invest Ophthalmol Vis Sci 49:4931–4938
Greenwald MJ, Wohl LG, Sell CH (1986) Metastatic bacterial endophthalmitis: a contemporary reappraisal. Surv Ophthalmol 31:81–101
Conflict of interest
None of the authors has a financial or proprietary interest in any material or method mentioned. None of the authors received a financial support (grants).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ishii, K., Hiraoka, T., Kaji, Y. et al. Successful treatment of endogenous Klebsiella pneumoniae endophthalmitis: a case report. Int Ophthalmol 31, 29–31 (2011). https://doi.org/10.1007/s10792-010-9387-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-010-9387-7