Posttraumatic Bacillus Cereus Endophthalmitis.

Kim, Min Jung; Chang, Bo Hyun; Kim, In Cheol; Lee, Dong Wook; Ahn, Min

Case Report

Journal of the Korean Ophthalmological Society 2005;46(9):1597-1604.
Published online September 30, 2005.

Posttraumatic Bacillus Cereus Endophthalmitis.

Min Jung Kim, Bo Hyun Chang, In Cheol Kim, Dong Wook Lee, Min Ahn

Department of Ophthalmology, Chonbuk National University, College of Medicine, Jeonju, Korea. eyeprotector@hanmail.net

외상 후 발생한 바실루스 세레우스 안내염 2예

김민정,장보현,김인철,이동욱,안민

Department of Ophthalmology, Chonbuk National University, College of Medicine, Jeonju, Korea

Correspondence: Min-Jung Kim, M.D.

Abstract

PURPOSE
We encountered two patients who developed Bacillus cereus endophthalmitis following trauma and eventually underwent enucleation, after aggressive antibiotic therapy. METHODS: When removing the intraocular foreign bodies, vancomycin and ceftazidime were injected intravitreally. The patients received postoperative topical fortified antibiotics hourly and underwent intravenous antibiotic therapy. RESULTS: After the operation, rapid corneal melting progressed to impending perforation in one patient's eye and enucleation was done on postoperative day 11. The eye of another patient progressed to phthisis bulbi and the patient underwent enucleation on postoperative day 45. CONCLUSIONS: Bacillus cereus is one of the most aggressive and devastating organisms that causes post-traumatic endophthalmitis and results in poor visual outcome. It is thought to be better to prevent the loss of anatomic integrity and visual function than to perform early intravitreal injection of antibiotics when the operation might be delayed.

Key Words: Bacillus cereus endophthalmitis;Intravitreal injection