Bilateral Endophthalmitis and Auto-evisceration from retained products of conception after planned surgical abortion: a case report

Abstract

Background: Endogenous endophthalmitis (EE) is a rare but potentially blinding ocular infection caused by hematogenous spread from a remote primary source. Case Presentation: A 30-year-old woman presented in eye outpatient department (OPD) with the loss of vision, redness, and purulent discharge in both eyes for 3 days. Detailed history revealed that the patient had 2 months of pregnancy for which she underwent a surgical abortion 5 days back in a hospital of local area followed by intense bleeding per vagina. On ocular examination, patient denied for light perception and an area of corneal thinning was present in the center in both eyes. Fundus examination revealed absence of normal red glow bilaterally. On general physical examination, patient was found to be semiconscious, hypotensive; pulse was feeble, and patient was in stage of shock. Medical management for the ocular condition was initiated and patient was referred to emergency department immediately. Follow ups continued in the ICU for the ocular condition. Conclusion: To conclude, it could be said that minor procedures may sometimes lead to life threatening complications; thus, full antibiotic prophylaxis should be given before initiation of any (major or minor) surgical procedure to reduce incidences of postoperative morbidities.