1.Fulminant acute postoperative endophthalmitis caused by Pseudomonas stutzeri in a healthy elderly male
George Michael N. Sosuan ; Kevin Kenjee K. Dee ; Jomel G. Lapides ; Ruben Lim Bon Siong
Philippine Journal of Ophthalmology 2024;49(1):66-70
Objective:
To report a case of acute postoperative endophthalmitis following cataract surgery due to Pseudomonas stutzeri in a healthy elderly male.
Methods:
This is a case report.
Results:
A non-hypertensive, non-diabetic male in his late 60s consulted due to eye pain and blurred vision 5
days after an uncomplicated extracapsular cataract extraction with posterior chamber intraocular lens
implantation (PCIOL) on his left eye. On examination, the visual acuity was light perception. Slit-lamp
examination showed ciliary injection, conjunctival congestion, mild corneal edema with Descemet membrane
folds, hazy anterior chamber with fibrin and a 2-millimeter hypopyon, and a visible PCIOL. IOP was 10 mmHg
with no leak on Seidel’s test, and there was poor view of the fundus. B-scan ultrasonography showed findings
consistent with endophthalmitis. He was given topical, intravitreal, and systemic antibiotics, and emergency
vitrectomy was done. The vitreous sample culture revealed Pseudomonas stutzeri. Despite aggressive medical and
surgical management, vision loss was not prevented.
Conclusion
Acute postoperative endophthalmitis from Pseudomonas stutzeri is rare; if not recognized and
treated promptly, this complication has devastating outcomes. It may present with a fulminant course regardless
of the associated risks for infection. Prevention, early recognition, and timely management can prevent
unfavorable visual outcomes.
Endophthalmitis
;
Pseudomonas stutzeri