A Case of Endogenous Endophthalmitis Caused by Rhinosinusitis

Abstract

We report on a case of endogenous endophthalmitis with meningitis caused by rhinosinusitis. A 45-year-old male, who had complained severe headachs and nausea, was diagnosed as having meningitis with sepsis, caused by rhinosinusitis and started treatment in hospital. He had initially bilateral ophthalmodynia and gradual deterioration of visual acuity, diagnosed as endogenous pneumococcul endophthalmitis. While on intravenous and intraophthalmic antibiotic medication, his visual acuity was totally lost. Bacterial endophthalmitis progresses rapidly and frequently causes blindness. It is recommended that vitreous antibiotics injection and vitrectomy with rapid correct diagnosis are essential for a good visual prognosis.