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A Rare Case of Fulminant Acute Postoperative Morganella morganii Endophthalmitis

Kushal Umeshbhai Agrawal1, Kashmira Limaye Joshi2, Maikel Gad3

  • 1Ophthalmology, Vitreo-Retina and Uvea, Jupiter Hospital, Thane, India.

Ocular Immunology and Inflammation
|November 22, 2021
PubMed
Abstract

Insights

A rare case of Morganella morganii endophthalmitis after cataract surgery was successfully treated. This aggressive approach led to the best visual outcome reported for this rare condition.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Postoperative endophthalmitis is a severe intraocular infection following ocular surgery.
  • Cataract surgery, while common, carries a risk of infection, necessitating prompt diagnosis and treatment.

Observation:

  • A 60-year-old female presented with sudden vision loss in the right eye three days post-cataract surgery.
  • Ocular examination revealed fulminant acute postoperative endophthalmitis.

Findings:

  • Culture results identified Morganella morganii, a gram-negative bacillus, as the causative agent.
  • The patient achieved the best visual outcome to date for acute postoperative Morganella morganii endophthalmitis.

Implications:

  • Intravitreal imipenem is a viable treatment option for Morganella morganii endophthalmitis.
  • Aggressive and timely intervention is crucial for improving visual prognosis in severe endophthalmitis cases.
Keywords:
Morganella morganiiacute post-operative endophthalmitisaggressive treatmentceftazidime resistanceintravitreal imipenem

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