Scleral and Subretinal Abscess with Endophthalmitis

A patient presented with blurry vision and pain after scleral buckle removal. He had a remote history of retinal detachment with primary scleral buckling. He had persistent inflammation that did not improve with topical steroids or tap and inject with antibiotics. He underwent a repeat tap and inject that did not yield any positive cultures. A vitrectomy demonstrated a diagnosis of endophthalmitis and scleral and subretinal abscess. There was persistent infection, inflammation, and scleral thinning and he required multiple scleral patch grafts and repeat vitrectomy. He was left under oil. Ultimately, the vision remained poor with a guarded prognosis.

Presentation Date: 03/04/2021

Issue Date: 04/02/2021