A patient with 75 per cent of the body surface area burned developed m
etastatic endophthalmitis with orbital cellulitis lending to panophtha
lmitis in the right eye. In an estimated 1700 patients with bums treat
ed in the same hospital over a period of 9 years (1984 to 1993), this
is the first patient developing metastatic endophthalmitis. A possible
pathological basis for the sequence of events is discussed.