Paradoxical embolus and endophthalmitis

Belinda C S Leong*, Rahul Dubey, Kenneth G J Ooi, Jessica M. Montfort, Geoff A. Wilcsek, Minas T. Coroneo, Peter W. Grant, Andrew R. Lloyd, Ian C. Francis

*Corresponding author for this work

Research output: Contribution to journalLetterpeer-review

Abstract

Dear Editor:
Endogenous endophthalmitis (EE) accounts for 2%–15% of infectious endophthalmitis presentations. We describe a young, otherwise healthy Australian woman with unilateral metastatic panophthalmitis and blindness associated with congenital cardiac anomalies.

A 23-year-old Aboriginal Australian woman presented with a painful, red right eye associated with a 3-day history of progressive mild upper eyelid swelling. She denied recent trauma or illness. Subsequent irritation, photophobia, and
tearing occurred and she was referred to her local ophthalmologist. Her right visual acuity was 6/60 at that time, panuveitis was diagnosed, and she was administered topical and oral corticosteroids and cycloplegics, with some initial
benefit.
Original languageEnglish
Pages (from-to)424–424.e1
Number of pages2
JournalOphthalmology
Volume119
Issue number2
DOIs
Publication statusPublished - Feb 2012
Externally publishedYes

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