Rhegmatogenous Retinal Detachment Following Focal Retinal Necrosis in Endogenous Endophthalmitis Due to Methicillin-resistant Staphylococcus Aureus Septicemia

Shreyas Temkar; Hemanth Ramachandar; Jagadeeswari Jayaseelan; Amit Kumar Deb;

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ABSTRACT

Endogenous endophthalmitis leading to rhegmatogenous retinal detachment is one of the vision-threatening, devastating sequelae. Risk factors usually include a systemic focus of infection and conditions causing immunosuppression (diabetes, prostheses, and intravenous drug use). The most commonly implicated pathogens are Gram-positive coagulase-negative ones, especially . Cases of methicillin-resistant (MRSA) septicemia causing endogenous endophthalmitis have been reported with poor visual outcomes even with aggressive treatment. We hereby report a case of MRSA septicemia presenting with focal chorioretinal necrosis progressing to rhegmatogenous retinal detachment in a young postpartum female patient, which was successfully managed with vitrectomy.

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