Elevated intraocular pressure, pigment dispersion and dark hypopyon in endogenous endophthalmitis from Listeria monocytogenes

Surv Ophthalmol. 1992 Sep-Oct;37(2):117-24. doi: 10.1016/0039-6257(92)90074-4.


Listeria monocytogenes endophthalmitis occurred in an immunologically competent patient with no identifiable extraocular septic focus. The patient presented with a dark hypopyon and markedly elevated intraocular pressure, and the diagnosis was established by culture and histopathologic examination of ocular fluid. Four of the fourteen reported cases of Listeria monocytogenes endophthalmitis also presented with a dark hypopyon, and all cases had markedly elevated intraocular pressure. The presence of a dark hypopyon and elevated intraocular pressure may indicate endogenous intraocular infection with Listeria monocytogenes, even in an apparently healthy host.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Aged
  • Anterior Chamber / microbiology*
  • Anterior Chamber / pathology
  • Endophthalmitis / microbiology*
  • Endophthalmitis / pathology
  • Eye Infections, Bacterial* / pathology
  • Female
  • Humans
  • Intraocular Pressure
  • Listeria monocytogenes / ultrastructure
  • Listeriosis* / pathology
  • Male
  • Middle Aged
  • Ocular Hypertension / microbiology*
  • Pigment Epithelium of Eye / microbiology*
  • Pigment Epithelium of Eye / pathology
  • Suppuration