BILATERAL ENTEROCOCCUS FAECALIS ENDOPHTHALMITIS WITH MULTIPLE RECURRENCES.

Retinal Cases & Brief Reports
Christopher M AdermanCynthia S Chiu

Abstract

To describe the first case report of a bilateral recurrent Enterococcus faecalis endophthalmitis postcataract surgery. Case report with a description of the timeline, diagnosis, and management of a patient with bilateral recurrent E. faecalis endophthalmitis. An 89-year-old man presented 6 weeks' postcataract surgery with pain, tearing, and blurred vision in the left eye. B-scan ultrasonography revealed vitritis and cultures postvitrectomy grew E. faecalis. There was gradual improvement in vision postintravitreal vancomycin administration. Four years later, the patient experienced another episode of E. faecalis endophthalmitis in the right eye postcataract extraction, followed by several additional episodes in both eyes posttreatment. Enterococcus faecalis is a rare but highly virulent cause of endophthalmitis that may remain sequestered in the capsular bag, despite aggressive treatment. Even after recurrent episodes, early vitrectomy and aggressive antibiotic therapy may prove to be effective in preventing vision loss.

References

Apr 7, 2005·Journal of Cataract and Refractive Surgery·Stephen C B TeohKah-Guan Au Eong
Sep 25, 2008·Journal of Cataract and Refractive Surgery·Takashi SuzukiYuichi Ohashi
Dec 4, 2008·Retina·Ekta RishiK Lily Therese
Jun 28, 2011·Journal of Cataract and Refractive Surgery·Kimberly V MillerRobert J Noecker
Oct 6, 2012·Journal of Cataract and Refractive Surgery·Neal H ShorsteinLisa J Herrinton
Dec 19, 2012·Journal of Cataract and Refractive Surgery·Emma FrilingPer Montan
Aug 5, 2014·American Journal of Ophthalmology·Ajay E KuriyanDarlene Miller

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