Metastatic subretinal abscess in a patient with perinephric abscess

• Main Authors: Monika Kapoor, Preeti Singh, T K Nayana, Siddharth Madan, Sarita Beri
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: endogenous endophthalmitis; metastatic endophthalmitis; perinephric abscess; subretinal abscess; vitrectomy
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=11;spage=2580;epage=2582;aulast=Kapoor

An 80-year-old lady with uncontrolled type 2 diabetes developed fever and abdominal pain followed by a sudden diminution of vision in her left eye. Right infra-renal abscess accounted for abdominal pain. A metastatic left subretinal abscess was diagnosed subsequently. Medical management for her systemic condition initiated. Vitreous biopsy was performed along-with intravitreal antibiotic administration. Because of no clinical recovery, patient underwent pars plana vitrectomy. Prompt systemic stabilization and a timely surgical intervention in the left eye resulted in a satisfactory visual gain. Metastatic subretinal abscess following a perinephric abscess is rare phenomenon and only a few cases are reported to date.