A Case of Endophthalmitis Associated with V. Vulnificus Septicemia.
- Author:
Jae Hyoung SHIM
1
;
In Young CHUNG
;
Jong Moon PARK
Author Information
1. Department of Ophthalmology, Gyeongsang National University College of Medicine, Korea. jmpark@gshp.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
Endophthalmitis;
Intravitreal injection;
Vibrio vulnificus;
Vitrectomy
- MeSH:
Anti-Bacterial Agents;
Bacterial Infections;
Endophthalmitis*;
Humans;
Inflammation;
Intravitreal Injections;
Sepsis*;
Vibrio;
Vibrio vulnificus;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2004;45(4):686-690
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of endophthalmitis associated with Vibrio vulnificus septicemia. METHODS: Vibrio vulnificus septicemia patient was referred to us in consultation for abrupt onset left visual loss, severe periorbital swelling and conjunctival injection. RESULTS: Left eye showed suppurative intraocular inflammation. With a clinical impression of V. vulnificus endogeneous endophthalmitis, culture for causative organisms and intravitreal antibiotics injection were done. Two days later, we performed pars plana lensectomy, pars plana vitrectomy, intravitreal antibiotics, SF6 gas injection. Intraocular inflammation was subsided after operation, and the anatomical structure of the eyeball was preserved CONCLUSIONS: Immediate ophthalmologic examination is mandatory for ruling out endophthalmitis when Vibrio species septicemia patient complains of ophthalmic symptoms, such as blurred vision or ocular pain. When clinicians diagnose endophthalmitis, make an effort to identify causative organisms. When bacterial infection is suspected, inject antibiotics intravitreously or vitrectomy must be done as faster as possible.
