Korean J Ophthalmol.  2017 Apr;31(2):175-176. 10.3341/kjo.2017.31.2.175.

Bilateral Branch Occlusive Retinal Vasculitis Induced by Septic Embo-lism in Endogenous Klebsiella Endo-phthalmitis

Affiliations
  • 1Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. junekim@amc.seoul.kr

Abstract

No abstract available.


MeSH Terms

Klebsiella*
Retinal Vasculitis*
Retinaldehyde*
Retinaldehyde

Figure

  • Fig. 1 (A-D) Before treatment. (E-H) After treatment. (A) Wide-angle fundus photograph of the right eye, showing occlusion of the infero-temporal branch of the retinal artery and severe periarteritis, with multiple retinal hemorrhages. A round greenish lesion was observed at the first bifurcation site of the infero-temporal artery. (B) Wide-angle fundus photograph of the left eye, showing a similar hemorrhagic lesion in the supero-temporal peripheral area and localized severe vitritis in the posterior pole. (C) Fluorescein angiography (arterial phase) of the right eye showing delayed filling of the infero-temporal branch of the retinal artery (white arrows). (D) Fluorescein angiography (recirculation phase) of the right eye showing a sectoral pattern of non-perfused area with a round hyperfluorescent lesion in the angular point. (E) Fundus photograph of the right eye showing decreased retinal hemorrhage after treatment. (F) Fundus photograph of the left eye showing absence of vitreous opacity after vitrectomy. (G,H) Fluorescein angiography (recirculation phase) of both eyes showing extensive non-perfused area and hyperfluorescent emboli (arrow heads).


Reference

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2. Liew GC, Khoo BK, Yap EY. Bilateral central retinal artery occlusion as a complication of bilateral Klebsiella endogenous endophthalmitis. Retina. 2000; 20:682–684.
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4. Motta C, Salmeri M, Anfuso CD, et al. Klebsiella pneumoniae induces an inflammatory response in an in vitro model of blood-retinal barrier. Infect Immun. 2014; 82:851–863.
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