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Bacillus circulans endophthalmitis.

A Tandon1, M L Tay-Kearney, C Metcalf

  • 1Ophthalmology Department, Royal Perth Hospital, WA, Australia. justin@icenet.com.au

Clinical & Experimental Ophthalmology
|May 9, 2001
PubMed
Summary
This summary is machine-generated.

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This case report details a rare instance of subacute endophthalmitis caused by Bacillus circulans following cataract surgery. The patient fully recovered with posterior capsulectomy and antibiotic treatment.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Post-cataract surgery endophthalmitis is a serious ocular infection.
  • Bacillus species are known causes of bacterial endophthalmitis, often presenting aggressively.
  • Chronic endophthalmitis typically presents with white plaques on the posterior capsule, often associated with Propionibacterium acnes.

Observation:

  • An 80-year-old woman developed endophthalmitis 17 months after uncomplicated cataract surgery.
  • Clinical presentation included chalky white deposits on the posterior capsule.
  • A three-port pars plana vitrectomy and partial posterior capsulectomy were performed.

Findings:

  • Culture of the removed material identified Bacillus circulans.
  • The patient experienced a rapid and complete recovery with topical cephalothin and prednisolone acetate.

Related Experiment Videos

  • This case represents the first reported instance of Bacillus circulans causing subacute endophthalmitis with characteristic white plaques.

    • Implications:

    • Bacillus circulans endophthalmitis may present with a subacute course, unlike other Bacillus species.
    • Posterior capsulectomy combined with antibiotic therapy can be effective for this condition.
    • The presence of white plaques on the posterior capsule should be considered in the differential diagnosis of subacute or chronic endophthalmitis, even with Bacillus species.