AOR

The Archives of Ophthalmological Research aims to publish issues related to publish articles of the highest scientific and clinical value at an international level, and accepts articles on these topics. The target audience of the journal included specialists and physicians working in ophthalmology, and other health professionals interested in these fields.

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Case Report
Bilateral panopthalmitis with orbital cellulitis due to Klebsiella pneumonia causing bilateral blindness in a diabetic patient: a rare case report
A 60-year-old diabetic female patient was referred to us with decreased vision and pain in both eyes. The patient had lid and conjunctival edema in both eyes and no sense of light projection. Globe movements were restricted in all directions. The anterior and posterior chambers could not be visualized. Magnetic resonance imaging showed findings consistent with orbital cellulitis and panophthalmitis. Klebsiella pneumonia was identified as the causative agent. Systemic and topical treatments were applied to the patient. The patient was discharged after her symptoms and complaints regressed. In conclusion, when proptosis, decreased vision, and pain complaints develop in diabetic patients, treatment should be started quickly, and it should be kept in mind that Klebsiella pneumonia may be the cause.


1. Sridhar J, Flynn HW Jr, Kuriyan AE, Dubovy S, Miller D. Endophthalmitis caused by Klebsiella species. Retina. 2014;34(9):1875-1881. doi:10.1097/IAE.0000000000000162
2. Kashani AH, Eliott D. The emergence of Klebsiella pneumoniae endogenous endophthalmitis in the USA: basic and clinical advances. J Ophthalmic Inflamm Infect. 2013;3(1):28. doi:10.1186/1869-5760-3-28
3. Davies BW, Fante RG. Concurrent endophthalmitis and orbital cellulitis from metastatic Klebsiella pneumoniae liver abscess. Ophthalmic Plast Reconstr Surg. 2016;32(5):e118-e119. doi:10.1097/IOP.0000000000000301
4. Lin JC, Chang FY, Fung CP, et al. Do neutrophils play a role in establishing liver abscesses and distant metastases caused by Klebsiella pneumoniae?. PLoS One. 2010;5(11):e15005. doi:10.1371/journal.pone. 0015005
5. Sheu SJ, Kung YH, Wu TT, Chang FP, Horng YH. Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess: 20-year experience in Southern Taiwan. Retina. 2011;31(10): 2026-2031. doi:10.1097/IAE.0b013e31820d3f9e
6. Yang SJ, Park SY, Lee YJ, et al. Klebsiella pneumoniae orbital cellulitis with extensive vascular occlusions in a patient with type 2 diabetes. Korean J Intern Med. 2010;25(1):114-117. doi:10.3904/kjim.2010.25.1.114
7. Ghiam BK, Israelsen P, Wang A, Grob S, Esfahani MR. Klebsiella pneumoniae endogenous endophthalmitis presenting as orbital cellulitis. GMS Ophthalmol Cases. 2019;9:Doc30. doi:10.3205/oc000119
8. Chen HC, Schlenker AC, Dolman PJ, Wong VA. Two cases of bilateral blindness from Klebsiella pneumoniae endogenous endophthalmitis. Can J Ophthalmol. 2021;56(5):e155-e157. doi:10.1016/j.jcjo.2021.02.025
9. Chen SC, Lee YY, Chen YH, Lin HS, Wu TT, Sheu SJ. Klebsiella pneumoniae infection leads to a poor visual outcome in endogenous endophthalmitis: a 12-year experience in Southern Taiwan. Ocul Immunol Inflamm. 2017;25(6):870-877. doi:10.1080/09273948.2016.1193616
10. Chung CY, Wong ES, Liu CCH, Wong MOM, Li KKW. Clinical features and prognostic factors of Klebsiella endophthalmitis-10-year experience in an endemic region. Eye (Lond). 2017;31(11):1569-1575. doi:10.1038/eye.2017.92
Volume 2, Issue 1, 2025
Page : 14-16
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