Postoperative Late-Onset Endophthalmitis Caused by <b><i>Leishmania donovani</i></b>: A Case Report

Abstract

Leishmania donovani is a human blood parasite that belongs to the genus Leishmania. We would like to present a case of late Leishmania donovani endophthalmitis in one eye of a patient that underwent simultaneous bilateral grade 3 cataract surgery.

Cytomorphology of late‐onset Leishmania endophthalmitis: A case report

“…Despite the preoperative, intraoperative and postoperative measures taken to avoid exogenous endophthalmitis, it is the most common postoperative complication of eye surgery, especially of cataract surgery. The majority of patients with postoperative endophthalmitis present with an acute onset within 7 days after surgery . Chronic postoperative endophthalmitis appears less frequently and usually manifests as late‐onset endophthalmitis several weeks or, as in our patient, a few months after surgery .…”

“…At 3 months postoperatively, the patient came to the Eye Clinic complaining about a decrease in vision (20/200) with redness and mild pain in her right eye. Moreover, there were additional signs of chronic post‐cataract endophthalmitis (inflammation in the anterior vitreous humour, a hypopyon in the anterior chamber and a constricted pupil covered with a white plaque) …”

“…Most cases are exogenous and occur after eye surgery, after penetrating ocular trauma and intravitreal injections or as an consequence of corneal or adjacent periocular tissue infection. Exogenous endophthalmitis after ocular surgery is the most common form of the condition, and 90% of cases develop after cataract surgery, as it is the most frequently performed surgery . Endogenous endophthalmitis is less common; it accounts for 5%‐10% of endophthalmitis cases and arises from a bacteraemic or fungaemic focus of the eye or as a consequence of a systemic infection or haematogenous dissemination from a distant infective source in the body.…”

“…Endogenous endophthalmitis is less common; it accounts for 5%‐10% of endophthalmitis cases and arises from a bacteraemic or fungaemic focus of the eye or as a consequence of a systemic infection or haematogenous dissemination from a distant infective source in the body. In patients with endogenous endophthalmitis, predisposing risk factors, such as immunosuppressive diseases, usually exist …”

“…Although rare cases of ocular leishmaniasis are reported, to the best of our knowledge, a case of late‐onset post‐cataract endophthalmitis caused by Leishmania has not yet been described in the literature. In this article, we would like to present the cytomorphology of our case of postoperative late‐onset endophthalmitis caused by Leishmania …”