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Related Experiment Videos

[Enterococcal endophthalmitis following cataract surgery].

Yvonne Hesse1, Christoph W Spraul, Gerhard K Lang

  • 1Universitätsaugenklinik Ulm, Germany. yvonne.hesse@medizin.uni-ulm.de

Klinische Monatsblatter Fur Augenheilkunde
|May 3, 2002
PubMed
Summary

Enterococcus faecalis can cause both acute and recurrent postoperative endophthalmitis following cataract surgery. Recurrent cases may involve bacteria adhering to intraocular lenses (IOLs), influencing treatment strategies.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Postoperative endophthalmitis presents in acute and chronic forms, often caused by distinct microorganisms.
  • Enterococcus faecalis is typically associated with acute postoperative endophthalmitis.

Observation:

  • Four cases of endophthalmitis post-cataract extraction with intraocular lens (IOL) implantation were identified.
  • Enterococcus faecalis was the identified pathogen in all reported cases.
  • Two patients experienced acute endophthalmitis, while two developed recurrent inflammation after initial treatment.

Findings:

  • Acute cases were treated with pars plana vitrectomy, with or without IOL explantation.
  • Chronic/recurrent cases initially received antibiotics and steroids, followed by vitrectomy and explantation due to exacerbation.

Related Experiment Videos

  • Scanning electron microscopy revealed Enterococcus faecalis adherence to explanted IOLs and capsular bags in recurrent cases.
  • Implications:

    • Enterococcus faecalis can be implicated in both acute and recurrent postoperative endophthalmitis.
    • Bacterial adherence to IOLs and capsular bags may contribute to recurrent infections.
    • Understanding these patterns is crucial for selecting appropriate treatment modalities for endophthalmitis.