Endogenous Endophthalmitis - A Rare Complication of Infective Endocarditis: A Case Report

Case Report

Austin J Clin Ophthalmol. 2022; 9(1): 1123.

Endogenous Endophthalmitis - A Rare Complication of Infective Endocarditis: A Case Report

Afaf E¹*, Fatimaezahra H¹, Habiba T¹, Elhassan A² and Berraho A²

¹Ophthalmologist, Morocco

²Professor of Ophthalmology, Morocco

*Corresponding author: Erradi Afaf, Ophthalmologist, Morocco

Received: December 07, 2021; Accepted: February 09, 2022; Published: February 16, 2022


Endogenous endophthalmitis (EE) is a severe, acute and diffuse uveitis caused by intraocular haematogenic infection. It affects vulnerable subjects. We report a case of a 42-year-old male with a history of endocarditis. he developed endogenous endophthalmitis in her left eye due to acute endocarditis. Owing to deterioration of the general status, intravitreal injections couldn’t be practiced and therapy consisted only in intravenous antibiotic therapy. We highlight the severity of this disease, associated with unfortunate visual and vital prognosis.

Keywords: Endogenous endophthalmitis; Intra-vitreous injections; Prognosis


Endogenous endophthalmitis (EE) is an extremely serious eye condition which threatens the visual prognosis and whose origin can be life threatening. Indeed, it is considered as a secondary localization following the dissemination of an infectious agent by hematogenous route with passage through the blood-retinal barrier. It is a rare pathology representing 2% to 15% of all endophthalmitis and often occurring in debilitated conditions. Its treatment is imperfectly codified. It includes a general anti-infective treatment associated, very often, with intra-vitreous injections (IVT) of anti-infective agents. The aim of our work was to report a case of EE complicating acute endocarditis

Patient and Case

This is a 43-year-old patient with no specific antecedants. History of the disease dates back to 4 days before admission by the installation of a decrease in visual acuity the ophthalmological examination found an anterior non-granulomatous uveitis associated with hypopion and ocular ultrasound is in favor of endophthalmitis general examination reveals fever with intense fatigue and dyspnea blood test and echocoeur returned in favor of infective endocarditis (Figure 1-3).