Bilateral metastatic endophthalmitis.

A case of bilateral metastatic endophthalmitis secondary to Staphylococcus aureus urinary tract infection is presented. Systemic antibiotic therapy was used to treat the bilateral and endophthalmitis. Anterior chamber and vitreous aspirations as well as later enucleation of the fellow eye confirmed the diagnosis of S. aureus endophthalmitis. The case is most unusual in that the patient developed a rhegmatogenous retinal detachment in one of the involved eyes. The detachment was successfully repaired, and the patient has maintained useful visual acuity.