Endophthalmitis: A Rare but Devastating Metastatic Bacterial Complication of Hemodialysis Catheter-Related Sepsis

Figures & data

Figure 1. Clinical picture showing eyelid edema, proptosis (A); conjunctival hyperemia and corneal infiltrate (B); coronal (C); and axial (D) computed tomography illustrating proptosis and diffuse orbital infiltrate.

Figure 2. Clinical picture showing proptosis, edema, conjunctival hyperemia and hypopyon (A); coronal (B); and axial (C) computed tomography illustrating proptosis and diffuse orbital infiltrate.

Table 1. Cases of endogenous endophthalmitis described in the literature as a complication of hemodialysis catheter-related bacteremia.

	Number of cases
Bloomfield et al.^7	01	19	No	Scribner shunt	Staphylococcus sp.	Small retina scar
Smith et al.^8	01	75	Wegener granulomatosis	Right atrial silastic catheter	Staphylococcus sp.	Died of sepsis
Saleem et al.^9	01	75	No	Temporary dialysis catheter	Staphylococcus sp.	Improved with sequelae
Sychev et al.^10	01	NS	NS	Tunnelized catheter	Candida sp.	NS
This study	01	61	Diabetes	Tunnelized catheter	Staphylococcus sp.	Evisceration of the eye
This study	01	51	Diabetes	Temporary dialysis catheter	Staphylococcus sp.	Evisceration of the eye

Note: NS, not specified.