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    An 80-year-old lady with uncontrolled type 2 diabetes developed fever and abdominal pain followed by a sudden diminution of vision in her left eye. Right infra-renal abscess accounted for abdominal pain. A metastatic left subretinal abscess was diagnosed subsequently. Medical management for her systemic condition initiated. Vitreous biopsy was performed along-with intravitreal antibiotic administration. Because of no clinical recovery, patient underwent pars plana vitrectomy. Prompt systemic stabilization and a timely surgical intervention in the left eye resulted in a satisfactory visual gain. Metastatic subretinal abscess following a perinephric abscess is rare phenomenon and only a few cases are reported to date.

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    Monika Kapoor, Preeti Singh, T K Nayana, Siddharth Madan, Sarita Beri. Metastatic subretinal abscess in a patient with perinephric abscess. Indian journal of ophthalmology. 2020 Nov;68(11):2580-2582

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    PMID: 33120699

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