Intraocular septic--bacterial, viral or fungal--metastasis originating from an infectious focus is very rare but serious complication. The authors performed one enucleation and one evisceration on two patients because of endophthalmitis secondary to pulmonary infection following lung transplantation. The pathogens were Pseudomonas aeruginosa and Mycobacterium xenopi respectively. With this case report the authors aim to draw attention to a rare, but serious ophthalmic complication of organ transplantation: endophthalmitis; its early care, to help prevent the need for enucleation.

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