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BILATERAL ENTEROCOCCUS FAECALIS ENDOPHTHALMITIS WITH MULTIPLE RECURRENCES.

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This case report details a rare instance of bilateral recurrent Enterococcus faecalis endophthalmitis following cataract surgery. Prompt vitrectomy and antibiotic treatment were crucial in preserving vision despite multiple infections.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Cataract surgery is a common procedure with a low risk of endophthalmitis.
  • Enterococcus faecalis is an opportunistic pathogen that can cause severe intraocular infections.

Observation:

  • An 89-year-old male developed bilateral recurrent endophthalmitis caused by Enterococcus faecalis after cataract surgery.
  • Initial symptoms included pain, tearing, and blurred vision, with diagnosis confirmed by B-scan ultrasonography and positive cultures.

Findings:

  • The patient experienced recurrent episodes of endophthalmitis in both eyes over several years.
  • Intravitreal vancomycin and early vitrectomy showed effectiveness in managing the infection and preventing vision loss.

Implications:

  • Enterococcus faecalis can cause virulent, recurrent endophthalmitis, potentially sequestering in the capsular bag.
  • Aggressive management, including early vitrectomy and antibiotics, is vital for visual outcomes in such challenging cases.