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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Bilateral Endogenous Bacterial Panophthalmitis

Department of Ophthalmology, Medical Academy, Lithuanian University of Health Sciences, Lithuania
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Medicina 2013, 49(3), 23; https://doi.org/10.3390/medicina49030023
Received: 4 January 2013 / Accepted: 30 March 2013 / Published: 4 April 2013
We present a case of meningitis with bilateral endogenous bacterial panophthalmitis in a previously healthy individual. The management of this ocular condition is unclear, and the prognosis is poor. The patient was admitted to the Clinic of Eye Diseases after a 9-day treatment with systemic antibiotics with a complete systemic recovery but impaired vision of both eyes. Functional vision was restored in the better eye with intravitreal vancomycin and pars plana vitrectomy. Nevertheless, after the removal of silicone oil, phthisis bulbi began to develop. Better outcomes could be expected if bacteremic patients were examined routinely by an ophthalmologist and, in case of endogenous bacterial endophthalmitis, treated with intravitreal antibiotics.
Keywords: endogenous endophthalmitis; bacterial panophthalmitis; Streptococcus pneumoniae; intravitreal antibiotic; meningitis endogenous endophthalmitis; bacterial panophthalmitis; Streptococcus pneumoniae; intravitreal antibiotic; meningitis
MDPI and ACS Style

Krėpštė, L.; Žemaitienė, R.; Barzdžiukas, V.; Miliauskas, A. Bilateral Endogenous Bacterial Panophthalmitis. Medicina 2013, 49, 23.

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