Late-Onset Citrobacter koseri Endophthalmitis with Suture Exposure after Secondary Intraocular Lens Implantation.
10.3341/kjo.2011.25.4.285
- Author:
Hae Min KANG
1
;
Eun Jee CHUNG
Author Information
1. Department of Ophthalmology, Yonsei University Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Citrobacter koseri;
Endophthalmitis;
Secondary intraocular lens implantation
- MeSH:
Anti-Bacterial Agents/administration & dosage;
Cataract Extraction/adverse effects;
Citrobacter koseri/*isolation & purification;
Diagnosis, Differential;
Endophthalmitis/diagnosis/*microbiology/therapy;
Enterobacteriaceae Infections/diagnosis/*microbiology/therapy;
Eye Infections, Bacterial/diagnosis/*microbiology/therapy;
Follow-Up Studies;
Humans;
Intravitreal Injections;
Lens Implantation, Intraocular/*adverse effects;
Male;
Microscopy, Acoustic;
Middle Aged;
Surgical Wound Infection/diagnosis/*microbiology/therapy;
Sutures/adverse effects/microbiology;
Visual Acuity;
Vitrectomy;
Vitreous Body/*microbiology
- From:Korean Journal of Ophthalmology
2011;25(4):285-288
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 54-year-old male patient was seen in clinic for ocular pain and decreased vision in the right eye with duration of two days. He underwent a cataract operation for his right eye 12 years ago, then a sclera-fixated secondary intraocular implantation and pars plana vitrectomy three years ago due to intraocular lens dislocation. At the initial visit, his visual acuity was restricted to the perception of hand motion. An edematous cornea, cells, flare with hypopyon, and exposed suture material at were observed at the six o'clock direction by slit lamp. Vitreous opacity was noted from B-scan ultrasonography. The patient was diagnosed with late-onset endophthalmitis and an intravitreal cocktail injection was done. On the next day, the hypopyon was aggravated, and therefore a pars plana vitrectomy was performed. A vitreous culture tested positive for Citrobacter koseri. After 12 weeks, the best corrected visual acuity of the right eye improved to 0.7 and a fundus examination revealed a relatively normal optic disc and retinal vasculature. We herein report the first case of endophthalmitis caused by Citrobacter koseri in Korea. Exposed suture material was suspected as the source of infection in this case and prompt surgical intervention resulted in a relatively good visual outcome.
