Case Report

Bilateral Endophthalmitis in a Postpartum Immunocompetent Patient

Table 1

Review of case reports featuring postpartum endophthalmitis.

StudyMicroorganismRisk factor(s) (RF)Eye(s) involvedTreatmentFinal visual outcome

Canthrill case n°1 (1980), Ref. [14]CandidaHistory of Candida vaginitisOSPpv, intravitreal, and systemic antifungals20/200
Canthrill case n°2 (1980), Ref. [14]CandidaFever after deliveryOSPpv, intravitreal, and systemic antifungals20/50
Guex-Crosier (1993), Ref. [18]CandidaNo RFODOral fluconazole20/20
Tsai (2002), Ref. [3]CandidaHistory of Candida vaginitis, preterm delivery, acute renal failure, and cardiomegalyBilateralIntravenous antifungal therapy, systemic antibiotic therapy, vitrectomy, and intravitreal antimycoticsOD 6/10 OS counting fingers (CF)
Rahman (2011), Ref. [19]Sphingomonas paucimobilisNo RF premature rupture of membranesODIntravitreal antibiotics, systemic antibiotics, and steroids6/9
Wu (2011), Ref. [11]Candida, CladosporiumNo RF immunocompetent, but suspicion of Candida vaginosisOSPpv and intravitreal antibiotics+antifungals, systemic and topical antifungals, and topical antibiotics20/25
Lee (2012), Ref. [13]CandidaNo RF immunocompetentODPpv, systemic, and intravitreal antifungal therapy20/20
Sahu (2013), Ref. [12]CandidaNo RF immunocompetentOSPpv and intravitreal and oral antifungals and oral antibiotics20/20
Albloushi (2019), Ref. [15]CandidaHistory of diabetes mellitus, vaginal discharge during peripartum periodODPpv and intravitreal antifungals20/40
Singh (2020), Ref. [20]Staphylococcus aureusNo RF immunocompetent, left mastitisOSSystemic and intravitreal antibiotics, intravitreal steroids, topical antibiotics, and steroids20/400
Bansal (2022), Ref. [16]CandidaNo RF immunocompetent, vaginal infection during pregnancyODDiagnostic core vitrectomy and intravitreal and oral antifungals and steroids20/30

Ppv = pars plana vitrectomy; OD = right eye; OS = left eye.