Loss of both eyes from endogenous endophthalmitis in a term neonate with pseudomonas sepsis

Pseudomonas aeruginosa sepsis is associated with high morbidity and mortality in the neonatal period. It is the most common cause of endogenous endophthalmitis which is a rare ophthalmic emergency that can result in complete blindness. Diagnosis can be a challenge in the neonate, hence the need for early ophthalmic consultation in babies presenting with fever, eye swelling, and discharge. Early diagnosis and prompt appropriate treatment are very important to prevent death and disability. This case report demonstrates the rapid progression of endogenous endophthalmitis due to Pseudomonas sepsis, which resulted in the loss of both eyes within a few days of onset.