Skip to main content

Advertisement

Log in

Endogenous panophthalmitis and diabetes

  • Case Report
  • Published:
International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Panophthalmitis is a visually devastating ocular infection. Endogenous panophthalmitis is a rare entity and occurs due to the spread of organisms hematogenously from a focus of infection elsewhere in the body. We report two such cases, both seen in diabetics. Both our patients presented with right eye panophthalmitis. They had uncontrolled blood sugars. One patient had septicemia following a urinary tract infection and the other following pneumonia. The outcome of panophthalmitis is usually very poor in spite of treatment and results in evisceration. Physicians and ophthalmologists should be aware of the possibility of endogenous endophthalmitis because early diagnosis and prompt treatment can save the eye before it progresses to panophthalmitis. Uncontrolled diabetes appears to be an important risk factor.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Chee SP, Jap A. Endogenous endophthalmitis. Curr Opin Ophthalmol. 2001;12:464–70.

    Article  CAS  PubMed  Google Scholar 

  2. Greenwald MJ, Wohl LG, Sell CH. Metastatic bacterial endophthalmitis: a contemporary reappraisal. Surv Ophthalmol. 1986;31:81–101.

    Article  CAS  PubMed  Google Scholar 

  3. Jackson TL, Eykyn SJ, Graham EM, et al. Endogenous bacterial endophthalmitis: a 17 years prospective series and review of 267 reported cases. Surv Ophthalmol. 2003;48:403–23.

    Article  PubMed  Google Scholar 

  4. Arevalo JF, Jap A, Chee SP, et al. Endogenous endophthalmitis in the developing world. Int Ophthalmol Clin. 2010;50:173–87.

    Article  PubMed  Google Scholar 

  5. Coburn PS, Wiskur BJ, Christy E, et al. The diabetic ocular environment facilitates the development of endogenous bacterial endophthalmitis. Invest Ophthalmol Vis Sci. 2012;53:7426–31.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Okada AA, Johnson RP, Liles WC, et al. Endogenous bacterial endophthalmitis. Report of a 10 years retrospective study. Ophthalmology. 1994;101:832–8.

    Article  CAS  PubMed  Google Scholar 

  7. Ang M, Jap A, Chee SP. Prognostic factors and outcomes in endogenous Klebsiella pneumoniae endophthalmitis. Am J Ophthalmol. 2011;151:338–44.

    Article  PubMed  Google Scholar 

  8. Wong JS, Chan TK, Lee HM, et al. Endogenous bacterial endophthalmitis: an East Asian experience and a reappraisal of a severe ocular affliction. Ophthalmology. 2000;107:1483–91.

    Article  CAS  PubMed  Google Scholar 

  9. Connell PP, O’Neill EC, Fabinyi D. Endogenous endophthalmitis: a 10 years experience at a tertiary referral center. Eye (Lond). 2011;25:66–72.

    Article  CAS  Google Scholar 

  10. Yoon YH, Lee SU, Sohn JH, et al. Result of early vitrectomy for endogenous Klebsiella pneumoniae endophthalmitis. Retina. 2003;23:366–70.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pratyusha Ganne.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Srinivasan, R., Ganne, P. Endogenous panophthalmitis and diabetes. Int J Diabetes Dev Ctries 35, 378–380 (2015). https://doi.org/10.1007/s13410-014-0233-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13410-014-0233-8

Keywords

Navigation