A Case of Streptococcus dysgalactiae Endophthalmitis after Cataract Surgery.

Park, Jun Min; Yeom, Myeong In; Park, Jung Min

doi:2018.59.2.185

J Korean Ophthalmol Soc > Volume 59(2); 2018 > Article

Case Report

Journal of the Korean Ophthalmological Society 2018;59(2):185-189.
DOI: https://doi.org/10.3341/jkos.2018.59.2.185 Published online February 15, 2018.

A Case of Streptococcus dysgalactiae Endophthalmitis after Cataract Surgery.

Jun Min Park, Myeong In Yeom, Jung Min Park

Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. pjm1438@hanmail.net

백내장수술 후 발생한 스트렙토코커스 디스갈락티아에 의한 안내염 1예

박준민⋅염명인⋅박정민

메리놀병원 안과

Correspondence: Jung Min Park,
Email: pjm1438@hanmail.net

Received: 9 November 2017 • Revised: 5 December 2017 • Accepted: 25 January 2018

Abstract

PURPOSE
To report the first case of endophthalmitis due to Streptococcus dysgalactiae after phacoemulsification and posterior chamber intraocular lens implantation in the Republic of Korea. CASE SUMMARY: A 65-year-old male was transferred because of endophthalmitis following cataract surgery. His initial visual acuity was light perception. Because inflammation of the anterior chamber and vitreous cavity progressed rapidly, we performed total pars planar vitrectomy and intraocular lens extraction in addition to administering intravitreal antibiotics and intravitreal dexamethasone injections. Streptococcus dysgalactiae was identified in samples cultured from the vitreous and anterior chamber fluid. Four days after surgery, we washed the anterior chamber and intravitreal antibiotics were again injected because of increased inflammation of the anterior chamber and vitreous. The patient was discharged 25 days after surgery but corneal neovascularization, contraction, edema, infiltration, and hypopyon remained. Visual acuity progressed to no light perception and there was shrinkage of the globe. CONCLUSIONS: Endophthalmitis due to Streptococcus dysgalactiae is very rare. We report the first case of endophthalmitis caused by Streptococcus dysgalactiae in the Republic of Korea. The prognosis for recovery was poor despite aggressive treatment.

Key Words: Cataract surgery;Endophthalmitis;Group G streptococcus;Streptococcus dysgalactiae