A 44-year-old man with diabetes and ESKD presents with eye pain, Vision Loss, and back pain. Explore the diagnosis of this vision-threatening condition.
A 44-year-old man with diabetes and end-stage kidney disease presented with a 2-week history of pain and blurry vision in his left eye, fevers, and back pain. An ophthalmologic examination was notable for conjunctival injection and corneal clouding in the left eye. Visual acuity was 20/60 in the right eye and was reduced to minimal light perception in the left eye. Slit-lamp examination revealed a hazy, edematous cornea and a small hypopyon in the left eye. Cultures of vitreous fluid and blood grew methicillin-sensitive Staphylococcus aureus. Which of the following is the best next step in management in addition to systemic antimicrobial treatment?
What is the most likely diagnosis?
Diabetes Mellitus, Endophthalmitis, Intravitreal antimicrobial injections, Staphylococcus aureus, Vision Loss
