PMC7355372_01
(a) Funduscopy shows a large necrotic lesion in the macular and superotemporal area with vitreous opacity of the left eye. (b) Ultrasound shows opacity and a diffuse abscess formation. (c) Abdominal computed tomography shows a gas-forming pyogenic liver abscess of the right lobe. (d) Fundus after 1 month of surgery, showing an atrophic lesion in the superotemporal area, and retinal hemorrhage around the macula.
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fig1
A computed tomography scan of the abdomen showed a 16 cm gas-forming abscess in the right lobe and left medial segment of the liver (Figure 1(c)). In fundus examinations, the optic disc was not visualized, and a yellowish necrotic lesion was noted throughout the eye (Figure 1). On the last follow-up at 18 months, stable atrophy at the location of the retinal abscess area was noted and best-corrected visual acuity was 0.08 (Figure 1(d)).
PMC7355372_02
(a) Funduscopy shows a large necrotic lesion in the superotemporal area with vitreous opacity of the right eye. (b) Ultrasound shows abscess formation with a height of 5 mm at the temporal macula (c) Abdominal computed tomography shows a pyogenic liver abscess of the right lobe. (d) Fundus, 18 months after admission showing a resolved abscess and atrophic retina at the original abscess site.
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fig2
A yellowish-white, round, elevated lesion three times the diameter of the optic disc was noted at the temporal macula (Figure 2(a)). Ultrasonography revealed multiple vitreous opacities and an elevated lesion with a height of 5 mm at the posterior pole, consistent with a subretinal abscess (Figure 2(b)). In a computed tomography scan of the abdomen, a pyogenic liver abscess was detected in segments VII/VIII (Figure 2(c)). At the 40-month follow-up, the BCVA of the right eye was 0.5 and a stable atrophic lesion was noted at the previous retinal abscess area (Figure 2(d)).