case_images: PMC11324282_01
case_images: PMC11324282_02
case_images: Left eye biomicroscopy: diffuse anteroposterior endophthalmitis.
case_images: cop-2024-0015-0001-540471_F01.jpg
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case_images: F1
case_images: The findings also revealed purulent conjunctival discharge, conjunctival hyperemia and edema, iris rubeosis, posterior synechiae, cataract, very low ocular pressure (2 mm Hg), and severe vitritis, which did not allow observation of the retina (shown in Fig. 1).
case_images: Right eye biomicroscopy: focal endophthalmitis.
case_images: cop-2024-0015-0001-540471_F02.jpg
case_images: PMC11324282_02_cop-2024-0015-0001-540471_F02.jpg
case_images: F2
case_images: Examination revealed a severe decrease to 20/800 VA in his right eye that did not improve with pinhole; biomicroscopy revealed conjunctival edema and hyperemia, fibrinoid reaction in the anterior chamber, and a 1.5-mm hypopyon (shown in Fig. 2); ocular pressure was 10 mm Hg; and fundus examination revealed moderate vitritis with the applied retina (shown in Fig. 3).
case_images: Liver ultrasound: hypoechogenic image of the right hepatic lobe (abscess).
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case_images: F4
case_images: Abdominal ultrasound revealed an irregular hypoechogenic image of 37 x 37 mm in the right hepatic lobe and absent gallbladder (shown in Fig. 4).
case_images: Abdominal computed tomography: enlarged liver due to a hypodense lesion in the right lobe (abscess).
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case_images: F5
case_images: To confirm these findings, computed tomography of the abdomen was performed, which revealed an enlarged liver due to a hypodense lesion in the right lobe with peripheral enhancement after intravenous administration of a contrast substance (shown in Fig. 5).
case_images: Right eye biomicroscopy: normal anterior segment, only slight posterior synechiae.
case_images: cop-2024-0015-0001-540471_F06.jpg
case_images: PMC11324282_02_cop-2024-0015-0001-540471_F06.jpg
case_images: F6
case_images: At 6 months, the best-corrected VA had improved to 20/25, ocular pressure was 17 mm Hg, and the retina and vitreous were normal (shown in Fig. 6).
case_images: Right eye wide-field retinography: Chorioretinal atrophy in the lower nasal periphery with pigment dispersion around.
case_images: cop-2024-0015-0001-540471_F07.jpg
case_images: PMC11324282_02_cop-2024-0015-0001-540471_F07.jpg
case_images: F7
case_images: Now, 7 years after the onset of symptoms, the patient still has 20/20 best-corrected VA in the right eye, transparent intraocular lens and eye fundus with applied retina, clean vitreous, and chorioretinal atrophy in lower nasal periphery with pigment dispersion around (shown in Fig. 7).