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Related Experiment Videos

Recurrent Enterococcus faecalis endophthalmitis after phacoemulsification.

Stephen C B Teoh1, Jong-Jian Lee, Caroline K L Chee

  • 1The Eye Institute, Tan Tock Seng Hospital, Singapore, Republic of Singapore. stephen_teoh@ttsh.com.sg

Journal of Cataract and Refractive Surgery
|April 7, 2005
PubMed
Summary
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This case study highlights late-recurring Enterococcus faecalis endophthalmitis after cataract surgery. Persistent bacterial sequestration in the capsular bag may cause these challenging relapses.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Cataract surgery is a common procedure with a low risk of endophthalmitis.
  • Enterococcus faecalis is a potential pathogen causing postoperative endophthalmitis.

Observation:

  • A 45-year-old diabetic male developed culture-positive Enterococcus faecalis endophthalmitis 2 days post-cataract surgery.
  • The patient experienced late recurrences at 7 and 9 months despite initial treatment and repeat interventions.

Findings:

  • Initial treatment included vitrectomy and broad-spectrum antibiotics.
  • Late recurrences were observed, leading to vision loss despite repeat vitrectomy, IOL explantation, and antibiotics.
  • Persistent sequestration of Enterococcus faecalis within the capsular bag is suspected as the cause of late relapses.

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Implications:

  • This case underscores the possibility of late-onset, recurrent endophthalmitis after cataract surgery.
  • The findings suggest the importance of considering the capsular bag as a potential reservoir for persistent infection.
  • Further investigation into management strategies for late-recurrent endophthalmitis is warranted.