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.


Prithvi Mruthyunjaya, MD


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