We report a case of fulminant bilateral intraocular endophthalmitis and necrosis due to self-mutilating intraocular injection of metallic mercury.
Report of a Case.
A 27-year-old woman was seen with a 2-day history of bilateral photophobia and rapidly progressive painless loss of vision. Her clinical history revealed no particular physical illness, occasional intravenous heroin use in the past, and a negative human immunodeficiency virus (HIV) test result 3 months earlier. Under psychiatric care for longer than 5 years, the patient's treatment consisted of clozapine, 100 mg, 3 times daily, but her diagnosis was not available at entry. Visual acuity was 20/800 OD and light perception in the left eye. Results of a clinical examination revealed bilateral subconjunctival hemorrhages and massive bilateral nongranulomatous panuveitis including fibrinous anterior uveitis with hypopyon and vitritis (Figure 1). Fundus, only partially visible in the right eye, showed peripheral acute retinal necrosis. Ocular pressures were normal. Bilateral
Auer C, Ducrey N, Uffer S, Othenin-Girard P, Herbort CP. Self-mutilating Intraocular Injection of Metallic Mercury. Arch Ophthalmol. 1997;115(4):556–557. doi:10.1001/archopht.1997.01100150558024
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