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Endophthalmitis After Bilateral Same-Day vs Unilateral Intravitreal Injection.

Ophthalmol Retina

December 2024

Department of Ophthalmology & Vision Science, University of Toronto, Toronto, Ontario, Canada; St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

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To present a case of bilateral endogenous endophthalmitis as the first presentation of endocarditis. A single case was evaluated. A 64-year-old Black woman presented with rapidly progressive bilateral vision loss.

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Purpose: To report an incidence of procedure-related complications in preterm infants with retinopathy of prematurity (ROP) treated with intravitreal anti-VEGFs injection in both eyes on the same day.

Design: Retrospective, multicenter case series.

Subjects: Preterm infants with ROP treated with anti-VEGF bilaterally on the same day.

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Article Synopsis
  • This case report discusses a rare presentation of hypervirulent invasive syndrome (KPIS) in a 54-year-old woman without the typical liver abscesses associated with the condition.
  • The patient exhibited multiple severe symptoms, including abdominal pain and signs of septic shock, along with complications like acute pyelonephritis and potential vision-threatening endophthalmitis.
  • The report emphasizes the need for prompt interdisciplinary care and the importance of recognizing atypical manifestations of KPIS, particularly in cases affecting multiple organ systems.
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