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Published on: February 6, 2021
Coagulase-negative Staphylococcus endophthalmitis after cataract surgery with intraocular vancomycin
W A Townsend-Pico1, S M Meyers, R H Langston
1Division of Ophthalmology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Purpose:
We studied a case of postoperative coagulase-negative Staphylococcus endophthalmitis in a 79-year-old man who had undergone cataract extraction in which vancomycin had been used intraoperatively in the infusion fluid.
Methods:
The medical records were reviewed for the clinical history, ocular findings, and the vitreous and anterior chamber culture results.
Results:
Acute, postoperative coagulase-negative Staphylococcus endophthalmitis developed in the patient in whom vancomycin had been used intraoperatively in the infusion fluid.
Conclusions:
Restraint is urged in the prophylactic use of vancomycin in the infusion fluids.
Insights
Prophylactic vancomycin in intraoperative infusion fluid may lead to postoperative coagulase-negative Staphylococcus endophthalmitis. This case highlights the need for caution when using vancomycin preventatively during cataract surgery.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pharmacology
Background:
- Cataract extraction is a common surgical procedure.
- Endophthalmitis is a serious intraocular infection that can lead to vision loss.
- Coagulase-negative Staphylococcus is a frequent cause of postoperative endophthalmitis.
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