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Published on: February 6, 2021
Chronic Postoperative Endophthalmitis Caused by Actinomyces meyeri
Vasileios G Peponis1, Spyridon E Chalkiadakis, Efstratios A Parikakis
1'Ophthalmiatreio' Athens Eye Hospital, Second Eye Clinic, Athens, Greece.
Case Reports in Ophthalmology
|April 9, 2011
Summary
A rare case of chronic endophthalmitis caused by Actinomyces meyeri occurred after cataract surgery. Prompt treatment with vitrectomy and antibiotics led to a good visual recovery.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Cataract surgery is a common procedure with a low risk of endophthalmitis.
- Actinomyces species are known to cause opportunistic infections.
Observation:
- A female patient developed persistent intraocular inflammation following uneventful cataract surgery.
- Cultures of aqueous humor and vitreous samples identified Actinomyces meyeri as the causative agent.
Findings:
- The patient presented with severe anterior segment inflammation and milder posterior segment involvement.
- Treatment included pars plana vitrectomy, intraocular antibiotics, and topical antibiotics.
Implications:
- This is the first reported case of endophthalmitis caused by Actinomyces meyeri after small-incision cataract surgery.
- Successful management was achieved without intraocular lens removal or systemic medication, highlighting the importance of timely and targeted intervention.
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