Abstract

Study design:Case report
Purpose: A 47-year-old, one-eyed chronic VKH patient, developed endogenous endophthalmitis in her only seeing eye.
Methods: A 47-year-old female patient presented 10 years ago with decreased vision in the RE for 4 years and LE decreased vision for 2 months. BCVA was PL + PR accurate in RE and 6/36 in LE. On anterior segment examination RE was phthisical. LE had active granulomatous panuveitis. She was diagnosed as RE Absolute eye and LE VKH. She was treated and inflammation well controlled with LE BCVA improving to 6/6. One year ago, she presented with sudden decrease in LE BCVA to 5/60 with dense vitritis. Suspecting a different etiology, we did a urine culture which came positive for Viridians streptococci and USG abdomen was suggestive of pyelonephritis. We treated endophthalmitis.
Results: Final LE BCVA of 6/6
Conclusion: Alertness that unusual clinical signs indicate a different diagnosis and prompt treatment meant we saved the eye of a one-eyed patient