An Atypical Case of Exogeneous Endophthalmitis after Intravitreal Injection Presenting with Roth Spots.
Ocular immunology and inflammation, vol.31, no.5, pp.1061-1067, 2023 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 31 Issue: 5
- Publication Date: 2023
- Doi Number: 10.1080/09273948.2022.2061525
- Journal Name: Ocular immunology and inflammation
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
- Page Numbers: pp.1061-1067
- Keywords: Exogeneous endophthalmitis, intravitreal injection, Roth spots, staphylococcus, ultrasonography, RETINAL VASCULITIS
- Ankara University Affiliated: Yes
Abstract
Purpose To report an atypical case of exogeneous endophthalmitis presenting with Roth spots. Case A 67-year-old man presented with decreased vision, mild pain, and discomfort in his left eye 12 days after an intravitreal aflibercept injection. Best-corrected visual acuity was 20/200, and there were +3 anterior chamber cells. On fundus examination, multiple intraretinal hemorrhages with a central white core resembling a Roth spot were observed. Intravitreal antibiotic injections were performed, and a vitreous sample was taken. Although post-intravitreal injection history was available, full systemic screening was planned to rule out endogenous endophthalmitis because of the presence of these Roth spots. Vitrectomy was performed and methicillin-sensitive coagulase-negative Staphylococcus was detected on culture. Conclusion Although the presence of Roth spots is an unexpected finding in post-injection endophthalmitis, it was nevertheless demonstrated in our case. For this reason, it should be kept in mind that Roth spots can be encountered in bacterial endophthalmitis.