Bacterial endophthalmitis with lens capsule rupture and retinal detachment: A case report of

Purpose: To report our findings in a rare case of unilateral endophthalmitis caused by Observations: A 22-year-old Cambodian man presented with recurrent blurry vision in the left eye, following a two-year history of recurrent uveitis initially responsive to corticosteroid treatment. However, during the second recurrence, corticosteroids failed to control the inflammation. At our initial examination, non-granulomatous keratic precipitates, posterior synechiae, and vitreous opacities were observed. Polymerase chain reaction (PCR) of the aqueous humor identified bacterial DNA leading to a suspicion of bacterial endophthalmitis. Vitreous surgery revealed a lens capsule rupture and a giant retinal tear. Retinal photocoagulation and silicone oil tamponade were performed to reattach the retina. Given his occupation at a construction site, ocular trauma was considered. However, preoperative examination and intraoperative findings revealed no evidence of intraocular foreign bodies. Cultures of the vitreous fluid detected Importance and conclusion: This case highlights the diagnostic and therapeutic challenges posed by rare pathogens such as