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Enterococcal endophthalmitis following cataract extraction, treated with ampicillin intravitreally
B Ejdervik-Lindblad1, M Lindberg, E B Håkansson
1Department of Ophthalmology, Sundsvall Hospital, Sweden.
Acta Ophthalmologica
|December 1, 1992
Summary
A rare case of Enterococcal endophthalmitis after cataract surgery was treated with ampicillin. Despite initial success, secondary glaucoma necessitated eye removal, highlighting an unusual, treatment-resistant infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Postoperative endophthalmitis is a severe complication following intraocular surgery.
- Cataract extraction is a common procedure with a low risk of infection.
Observation:
- A patient developed Enterococcal endophthalmitis after extracapsular cataract extraction.
- The infection presented an unusual etiology and resistance to standard treatments.
Findings:
- Intravenous and intravitreal ampicillin successfully treated the initial infection.
- A secondary glaucoma developed, leading to enucleation.
- The case highlights an uncommon cause of endophthalmitis.
Implications:
- This case underscores the importance of considering unusual pathogens in postoperative endophthalmitis.
- Management may require tailored or alternative therapeutic strategies.
- Further research into resistant microbial strains in endophthalmitis is warranted.