| Two Cases of Recurrent Enterococcus Faecalis Endophthalmitis after Cataract Surgery. |
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Min Won Ahn, Min Kyu Shin, Sung Who Park, Ji Eun Lee |
1Department of Ophthalmology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. oph97@naver.com
2Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. |
| 백내장 수술 후 발생한 Enterococcus faecalis 재발성 안내염 2예 |
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안민원1⋅신민규1⋅박성후1⋅이지은1,2 |
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부산대학교 의학전문대학원 부산대학교병원 안과학교실1, 부산대학교 의과대학 안과학교실2 |
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| Abstract |
PURPOSE
To report 2 cases of recurrent Enterococcus faecalis (E. faecalis) endophthalmitis after uneventful phacoemulsification and posterior chamber intraocular lens (IOL) implantation. CASE SUMMARY: Case 1: A healthy, 75-year-old female presented with a sudden visual loss and ocular pain 2 days after phacoemulsification and IOL implantation. After successful treatment with intravitreal antibiotics injection, the infection was apparently cleared. At 1 month after the initial presentation, recurrent endophthalmitis occurred and was resolved with vitrectomy, silicon oil tamponade, and intravitreal antibiotics injection. Two months after vitrectomy, the silicone oil was removed and the patient's final visual acuity improved to 20/400 5 months later. Case 2: A healthy, 74-year-old female presented with a sudden visual loss 2 days after phacoemulsification and IOL implantation. After successful treatment with intravitreal antibiotics injection, the infection was apparently cleared. One month later, recurrent endophthalmitis occurred and was resolved with vitrectomy, posterior capsulotomy, and intravitreal antibiotics injection. Forty days later, the patient had a similar relapse. The infection resolved with IOL explantation, silicon oil tamponade, and repeated intravitreal antibiotics injections. E. faecalis was identified at the first and recurrent episode. Vancomycin and ceftazidime were used for each intravitreal administration. Silicone oil removal and IOL scleral fixation were performed and the patient's final visual acuity was 20/40 5 months later. CONCLUSIONS: Close monitoring for recurrences is recommended in endophthalmitis due to E. faecalis after phacoemulsification even after a successful initial treatment. |
| Key Words:
Endophthalmitis;Enterococcus faecalis;Recurrent endophthalmitis |
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