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Abiotrophia defectiva Endophthalmitis Post-Keratoplasty - A Case Report and Literature Review
1Ophthalmology, Soroka University Medical Center, Be'er Sheva, Israel.
Purpose:
To report the first case of acute Abiotrophia defectiva endophthalmitis post-keratoplasty and review the current literature.
Methods:
A 47-year-old male, post-keratoplasty, presented with vision loss and severe anterior chamber reaction. Diagnostic investigations included vitreous cultures and molecular analysis.
Results:
Abiotrophia defectiva was identified. Despite aggressive treatment, visual acuity remained low. We reviewed a total of 14 post-procedural cases of A. defectiva endophthalmitis, focusing on antibiotic and steroidal treatment regimens and long-term prognosis.
Conclusion:
We emphasize aggressive treatment of external disease prior to intraocular surgery. In cases of A. defectiva endophthalmitis, we advocate judicious use of steroids.
