Moraxella nonliquefaciens endophthalmitis after trabeculectomy

Area of Science:

• Ophthalmology
• Infectious Diseases

Background:

• Trabeculectomy is a surgical procedure to treat glaucoma.
• Delayed-onset endophthalmitis is a rare but serious complication following ocular surgery.

Observation:

• Two patients, a 67-year-old man and a 62-year-old woman, developed endophthalmitis caused by Moraxella nonliquefaciens.
• The onset occurred five years after trabeculectomy in the man and 15 months after trabeculectomy in the woman.

Findings:

• Both patients presented with ocular pain, inflammation, and reduced visual acuity.
• Aggressive treatment with antibiotics and corticosteroids resulted in rapid clinical improvement within days.

Implications:

• Moraxella nonliquefaciens is a potential cause of delayed endophthalmitis post-trabeculectomy.
• Early and aggressive management with antibiotics and corticosteroids is crucial for favorable outcomes in such cases.