EXOGENOUS MENINGOCOCCAL ENDOPHTHALMITIS: A CASE REVIEW.

PURPOSE We describe a rare case of exogenous endophthalmitis due to Neisseria meningitidis, of which only two have previously been published. METHODS Retrospective audit of patient's medical notes. PATIENTS An 82-year-old man from The Royal Victoria Eye and Ear Hospital, a tertiary ophthalmic service in Melbourne, Australia. RESULTS Found to have exogenous endophthalmitis from a leaking, filtering bleb. CONCLUSION This seems to be the first case in which a conjunctival swab was diagnostic. These cases demonstrate that it is reasonable to consider meningococcal endophthalmitis in systemically well patients with leaky filtering blebs. Of note for occupational health and safety, prophylaxis is not required for staff contacts treating these patients.

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