Abstract
Sir, Endogenous endophthalmitis is an uncommon but potentially blinding condition caused by hematogenous microbial spread from an extraocular focus. Serratia marcescens is an aerobic, Gram-negative bacillus that is commonly associated with nosocomial infections of the respiratory and urogenital tract in susceptible individuals.1, 2, 3 It is a rare but devastating cause of endogenous endophthalmitis due to its multi-drug resistant nature, resulting in blindness or enucleation in a majority of reported cases.1, 2, 3 Herein, we report a case of endogenous Serratia marcescens endophthalmitis with a ciliary body abscess presenting initially as acute angle-closure glaucoma, leading to difficult diagnosis. This is the third reported case of an irido-lenticular abscess in a background of endogenous endophthalmitis.
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