A Case of Postoperative Sphingomonas paucimobilis Endophthalmitis After Cataract Extraction.
- Author:
Seong Wook SEO
1
;
In Young CHUNG
;
Eurie KIM
;
Jong Moon PARK
Author Information
- Publication Type:Case Report
- Keywords: Postoperative endophthalmitis; Sphingomonas paucimobilis; Vitrectomy
- MeSH: Anti-Bacterial Agents/therapeutic use; Ceftazidime/therapeutic use; Combined Modality Therapy; Endophthalmitis/diagnosis/drug therapy/*microbiology; Eye Infections, Bacterial/diagnosis/drug therapy/*microbiology; Gram-Negative Bacterial Infections/diagnosis/drug therapy/*microbiology; Humans; Lens Implantation, Intraocular; Male; Middle Aged; *Phacoemulsification; *Postoperative Complications; Sphingomonas/*isolation & purification; Visual Acuity; Vitrectomy; Vitreous Body/microbiology
- From:Korean Journal of Ophthalmology 2008;22(1):63-65
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: To report a case of an acute onset of delayed postoperative endophthalmitis that was caused by Sphingomonas paucimobilis. METHODS: This case demonstrates an acute onset of delayed postoperative endophthalmitis at 3 months after uneventful cataract extraction and posterior chamber intraocular lens implantation. We performed vitrectomy, intraocular lens and capsular bag removal, and intravitreal antibiotics injection. On the smear stains from the aspirated vitreous humor, gram-negative bacilli were detected and S. paucimobilis was found in culture. RESULTS: At three months after vitrectomy, the best corrected visual acuity was 20/300. Fundus examination showed mild pale color of optic disc and macular degeneration. CONCLUSIONS: Vitrectomy with intravitreal ceftazidime injection had contributed to the favorable result in case of an acute onset of delayed postoperatire endophthalmitis caused by S. paucimobilis.
