This report describes an unusual case of culture-proven bilateral endogenous endophthalmitis secondary to an underlying psoas
abscess in a 54 year old male. The patient first was found to have endophthalmitis in the left eye, and, in spite of being on the appropriate
intravenous antibiotics, he subsequently developed endophthalmitis in the right eye two days later. With timely treatment and close
communication with the primary team, the patient recovered with a successful visual outcome.