Metastatic subretinal abscess in a patient with perinephric abscess

Indian J Ophthalmol. 2020 Nov;68(11):2580-2582. doi: 10.4103/ijo.IJO_1369_20.


An 80-year-old lady with uncontrolled type 2 diabetes developed fever and abdominal pain followed by a sudden diminution of vision in her left eye. Right infra-renal abscess accounted for abdominal pain. A metastatic left subretinal abscess was diagnosed subsequently. Medical management for her systemic condition initiated. Vitreous biopsy was performed along-with intravitreal antibiotic administration. Because of no clinical recovery, patient underwent pars plana vitrectomy. Prompt systemic stabilization and a timely surgical intervention in the left eye resulted in a satisfactory visual gain. Metastatic subretinal abscess following a perinephric abscess is rare phenomenon and only a few cases are reported to date.

Keywords: Endogenous endophthalmitis; metastatic endophthalmitis; perinephric abscess; subretinal abscess; vitrectomy.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnosis
  • Abscess / drug therapy
  • Abscess / etiology
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Diabetes Mellitus, Type 2* / complications
  • Diabetes Mellitus, Type 2* / drug therapy
  • Endophthalmitis* / diagnosis
  • Endophthalmitis* / drug therapy
  • Endophthalmitis* / etiology
  • Female
  • Humans
  • Retinal Diseases* / drug therapy
  • Vitrectomy


  • Anti-Bacterial Agents