A Case of Bacterial Endophthalmitis Following Penetrating Keratoplasty.

Choi, Seung Il; Myong, Yoon Won; Chung, Sang Moon

Case Report

Journal of the Korean Ophthalmological Society 1998;39(2):414-418.
Published online February 1, 1998.

A Case of Bacterial Endophthalmitis Following Penetrating Keratoplasty.

Seung Il Choi, Yoon Won Myong, Sang Moon Chung

Department of Ophthalmology, St. Marys Hospital, The Catholic University of Korea, Seoul, Korea.

전층 각막이식수술후에 발생한 세균 안내염 1예

최승일(Seung Il Choi),명윤원(Yoon Won Myong),정상문(Sang Moon Chung)

Abstract

Endophthalmitis is an intraocular inflammation caused by bacteria or fungus. Although endophthalmitis may result from an endogenous source elsewhere in the body, it most commonly occurs following intraocular surgery or penetrating ocular injury. But endophthalmitis following penetrating keratoplasty reveals the significantly lower incidence than by other causes. We have experienced one case of bacterial endophthalmitis following penetrating keratoplasty which was proved to be Pseudomonas aeruginosa by bacterial culture. In spite of two intravitreal injection of proper antibiotics, his clinical symptoms and signs did not improve and his visual acuity decreased to hand movement. So, we performed pars plana vitrectomy and third intravitreal injection of antibiotic and achieved a successful results with final visual acuity of 6/20. We report a case of endophthalmitis following penetrating keratoplasty and with the review of literature.

Key Words: Bacterial endophthalmitis;Penetrating keratoplasty;Pseudomonas aeruginosa;Pars plana vitrectomy