Citrobacter Endophthalmitis after Intravitreal Bevacizumab in a Patient with Asymptomatic Recurrent Dacryocystitis
4: 32, Phoebe Lin, MD, PhD
Concurrent nasolacrimal irrigation with surgical vitrectomy for a Citrobacter Koseri vitreous abscess reveals an uncommon source for post-injection endophthalmitis. This surgical video reveals matching extensive fibrinous stranding in both the presumed source compartment and the abscess compartment. Unusual causative organisms in post-procedural endophthalmitis should trigger questioning for possible source compartments of infection, such as the nasolacrimal system.