Stenotrophomonas maltophilia Endophthalmitis after cataract extraction

Ocular Immunology and Inflammation
Ahmet KarakurtHikmet Hasiripi

Abstract

To report the clinical course, treatment response, and prognosis of Stenotrophomonas maltophilia endophthalmitis following cataract extraction. The clinical records of six cases of S. maltophilia endophthalmitis after cataract extraction were retrospectively reviewed. Data were collected for surgical characteristics, disease course, culture growth, antibiotic sensitivity of the pathogen, response to treatment, and final visual acuity. Four patients underwent uncomplicated cataract extraction with phacoemulsification (PHACO) and intracapsular intraocular lens (IOL) implantation. One case was complicated by inadvertent posterior capsular tear during PHACO and IOL implantation. One patient underwent a combined extracapsular cataract extraction (ECCE) with IOL implantation and trabeculectomy, but vitrectomy was also performed because of cortical material loss into the vitreous cavity after a capsular tear. Symptoms began between postoperative days 1 and 19. All patients underwent a vitreous tap and intravitreal injections of antibiotics. Medical therapy alone was sufficient in five patients to treat the infection. One patient had four episodes of recurrence. Pars plana vitrectomy with subsequent capsulectomy and IOL extraction were...Continue Reading

References

Dec 15, 1992·American Journal of Ophthalmology·S ChenA Jalkh
Mar 1, 1997·American Journal of Ophthalmology·G M KaiserD McCurdy
Apr 15, 2000·Archives of Ophthalmology·N A ChaudhryD Miller

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Citations

Sep 30, 2010·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Kuan-Jen ChenHsin-Yuan Tan
Dec 25, 2010·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Agnieszka M Jamrozy-WitkowskaPatrycja P Krzyżanowska-Berkowska
Jan 25, 2008·Cornea·Jerome C Ramos-Esteban, Bennie H Jeng
Mar 27, 2012·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·D KarimdadianH Hoerauf

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