We present a case of endogenous endophthalmitis involving only the anterior segment in the form of an iris abscess after a routine dental cleaning in an immunocompetent patient.
On March 13, 2014, a woman in her 50s presented to our clinic with 4 days of blurry vision and pain in her left eye after undergoing a routine dental cleaning 1 week prior. She had no history of gingival disease or cavities. Her medical and ocular histories were unremarkable.
On examination, the patient’s visual acuity was 20/25 OD and 20/50 OS. Her intraocular pressures were 15 mm Hg OD and 11 mm Hg OS. Findings from anterior segment examination of the left eye were significant for conjunctival hyperemia, faint keratic precipitates, 3+ cells with fibrin in the anterior chamber, mild nuclear sclerosis, and the appearance of a whitish focal granuloma at the 4-o’clock position at the pupillary margin (Figure 1A). The posterior segment was unremarkable, with no evidence of vitritis, retinitis, or vasculitis. The right eye was unremarkable.
Mali JO, Falk NS, Mali YP, Mencias L. Endogenous Endophthalmitis With Iris Abscess After Routine Dental Cleaning. JAMA Ophthalmol. 2015;133(5):616-617. doi:10.1001/jamaophthalmol.2015.12