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Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
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Endophthalmitis Caused by Kocuria Kristinae
Prashanth G Iyer1, Noy Ashkenazy1, Stephanie J Weiss2
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Case Reports in Ophthalmology
|July 11, 2022
Summary
Kocuria kristinae rarely causes endophthalmitis. This case report details successful treatment of Kocuria endophthalmitis following ocular trauma, improving vision to 20/50.
Area of Science:
- Ophthalmology
- Microbiology
- Infectious Diseases
Background:
- Kocuria species are Gram-positive bacteria rarely implicated in ocular infections.
- Endophthalmitis, particularly post-surgical or post-traumatic, poses a significant risk to vision.
- Previous reports indicate a guarded visual prognosis for Kocuria-associated endophthalmitis.
Observation:
- A young female patient presented with endophthalmitis following a traumatic scleral rupture.
- Ocular cultures confirmed the presence of Kocuria kristinae as the causative agent.
- Initial visual acuity was light perception, with a guarded prognosis.
Findings:
- The patient received treatment including intravitreal antimicrobial therapy and pars plana vitrectomy.
- At two months follow-up, visual acuity significantly improved to 20/50.
- This represents a better visual outcome than previously reported for Kocuria endophthalmitis.
Implications:
- Kocuria kristinae should be considered in the differential diagnosis of endophthalmitis, especially after ocular trauma.
- Aggressive treatment combining antimicrobial therapy and surgical intervention can lead to favorable visual outcomes.
- This case expands the understanding of Kocuria's pathogenic potential in the eye and highlights successful management strategies.
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