Endogenous Endophthalmitis with an Unusual Presentation

Endogenous endophthalmitis is caused by the hematogenous dissemination of infectiousorganisms, resulting in intraocular infection. This entity is uncommon and accounts for5–15% of all forms of endophthalmitis. Patients with compromised immune systemsare most at risk for endogenous endophthalmitis. An immunocompetent 20-year-oldman, following a recent hospitalization and ventilator-associated pneumonia (VAP),presented with blurred vision in the left eye. Fundoscopy revealed dense white-to-yellow, pus-like subfoveal material originating from the choroid, breaking through theretina, and dispersing into the vitreous. According to polymerase chain reaction (PCR)findings, the infection had a bacterial origin and caused irreversible damage to themacula.