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Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
[Orbital cellulitis and endophthalmitis after cataract surgery]
Rim Limaiem1, Ahlem Merdassi, Imen Lahdhiri
1Institut Hedi Rais d'Ophtalmologie de Tunis, (Service B). rlimaiem@yahoo.fr
Bulletin De La Societe Belge D'Ophtalmologie
|February 10, 2009
Summary
Orbital cellulitis and endophthalmitis are rare complications after cataract surgery. This case highlights a severe Streptococcus pneumoniae infection leading to vision loss and enucleation.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Orbital cellulitis and endophthalmitis are uncommon post-surgical complications.
- Cataract surgery, particularly extracapsular extraction with posterior chamber implant, carries a risk of severe infection.
Observation:
- A 38-year-old male developed endophthalmitis and orbital cellulitis three days after uneventful cataract surgery.
- Symptoms included reduced visual acuity and eyelid swelling.
- Computed tomography confirmed orbital cellulitis, and cultures identified Streptococcus pneumoniae.
Findings:
- The patient experienced a severe ocular infection progressing to phthisis bulbi with no light perception.
- Enucleation with an orbital implant was ultimately required.
Implications:
- This case underscores the importance of vigilance for severe infections post-ophthalmic surgery.
- Prompt diagnosis and management are crucial, though outcomes can be poor.
- Understanding causative pathogens like Streptococcus pneumoniae is vital for treatment strategies.
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