Case ReportHEMORRHAGIC VASCULITIS AND RETINOPATHY HERALDING AS AN EARLY SIGN OF BACTERIAL ENDOPHTHALMITIS AFTER INTRAVITREAL INJECTIONConrady, Christopher D. MD, PhD*; Feistmann, Jonathan A. MD†; Roller, Aaron B. MD§; Boldt, H. Culver MD‡; Shakoor, Akbar MD*Author Information *Department of Ophthalmology, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah; †Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York; ‡Department of Ophthalmology, University of Iowa, Iowa City, Iowa; and §Texas Retina Institute, Round Rock, Texas. Reprint requests: Akbar Shakoor, MD, Department of Ophthalmology, John A. Moran Eye Center, University of Utah, 65 Mario Capecchi Drive, Salt Lake City, UT 84132; e-mail: [email protected] Supported in part by an unrestricted grant from Research to Prevent Blindness, Inc, New York, NY, to the Department of Ophthalmology & Visual Sciences, University of Utah. None of the authors has any conflicting interests to disclose. C. D. Conrady and A. Shakoor had full access to all the data in the study and take responsibility for the integrity of the data. Retinal Cases & Brief Reports: Fall 2019 - Volume 13 - Issue 4 - p 329-332 doi: 10.1097/ICB.0000000000000601 Buy Metrics AbstractIn Brief Purpose: To describe a case series of postintravitreal injection, bacterial endophthalmitis heralded by hemorrhagic retinal vasculitis. Methods: Observational case series of three patients with a history of intravitreal injections for age-related macular degeneration at a tertiary referral center who presented with vision changes and eye pain that were eventually found to have bacterial endophthalmitis. Clinical course was then followed. Results: All patients developed bacterial endophthalmitis and hemorrhagic retinal vasculitis. Conclusion: These three cases highlight the importance of hemorrhagic retinal vasculitis as the presenting fundus finding of bacterial endophthalmitis and that this finding in a postinjection patient should be treated as endophthalmitis until proven otherwise. This case series highlights the importance of hemorrhagic vasculitis heralding as an early sign of endophthalmitis in patients presenting shortly after intravitreal injection.