Hemorrhagic Vasculitis and Retinopathy Heralding as an Early Sign of Bacterial Endophthalmitis after Intravitreal Injection.

PURPOSE To describe a case series of postintravitreal injection, bacterial endophthalmitis heralded by hemorrhagic retinal vasculitis. METHODS Observational case series of three patients with a history of intravitreal injections for age-related macular degeneration at a tertiary referral center who presented with vision changes and eye pain that were eventually found to have bacterial endophthalmitis. Clinical course was then followed. RESULTS All patients developed bacterial endophthalmitis and hemorrhagic retinal vasculitis. CONCLUSION These three cases highlight the importance of hemorrhagic retinal vasculitis as the presenting fundus finding of bacterial endophthalmitis and that this finding in a postinjection patient should be treated as endophthalmitis until proven otherwise.