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Case Reports
. 2013 Jun;61(6):309-10.
doi: 10.4103/0301-4738.114122.

Pseudomonas aeruginosa endophthalmitis masquerading as chronic uveitis

Kalpana Badami Nagaraj  1 , Chaitra Jayadev
Affiliations
Case Reports

Pseudomonas aeruginosa endophthalmitis masquerading as chronic uveitis

Kalpana Badami Nagaraj et al. Indian J Ophthalmol. 2013 Jun.

Abstract

A 65-year-old male presented with decreased vision in the left eye of 15-day duration after having undergone an uneventful cataract surgery 10 months back. He had been previously treated with systemic steroids for recurrent uveitis postoperatively on three occasions in the same eye. B-scan ultrasonography showed multiple clumplike echoes suggestive of vitreous inflammation. Aqueous tap revealed Pseudomonas aeruginosa sensitive to ciprofloxacin. The patient was treated with intravitreal ciprofloxacin and vancomycin along with systemic ciprofloxacin with good clinical response. Even a virulent organism such as P.aeruginosa can present as a chronic uveitis, which, if missed, can lead to a delay in accurate diagnosis and appropriate management.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Left eye fundus:Pretreatment hazy view
Figure 2
Figure 2
Left eye: B-scan ultrasonography at presentation
Figure 3
Figure 3
Left eye: Post-treatment visible details of the fundus
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