bilateral endogenous endophthalmitis following pneumosepsis

Purpose: To report a case of bilateral endogenous endophthalmitis secondary to pneumosepsis. Methods: a 84 year-old man was referred for bilaterally severely decreased vision and pain, since days ago. The patient was hospitalized for pneoumosepsis. Results: At the presentation the vision was poor light perception bilaterally. ophthalmic examinations and imagings showed bilateral endophthalmitis for which pars plana vitrectomy and intravitreal antibiotic injection performed. One month later the patient was discharged from the hospital but the vision was no light perception bilaterally and the globes were phthysic. Echography showed retinal detachment and reduced globe diameter compatible with phthysis bulbi. Conclusion: in any elderly, specially hospitalized for infectious causes, and complaining of eye pain and decreased vision, prompt comprehensive eye examinations are necessary, preventing delayed management and poor prognosis.