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Postoperative endophthalmitis

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https://www.readbyqxmd.com/read/28936060/endophthalmitis-due-to-proteus-vulgaris-after-pars-plana-vitrectomy-with-devastating-outcome
#1
Abdullah S Al-Kharashi, Abdulmajeed S Al-Kharshi, Yasser H Al-Faky
Postoperative infectious endophthalmitis is rare, yet devastating loss of vision or loss of the eye can occur due to a highly purulent microorganism or uncontrolled endophthalmitis that may spread to all coats of the eye. We report, herewith, a case of rapidly progressive postoperative endophthalmitis after pars plana vitrectomy which ended up with enucleation. The isolated microorganism was Proteus vulgaris which has not been reported as causative bacteria of postoperative infections following pars plana vitrectomy...
April 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/28932504/effects-of-intracameral-cefuroxime-on-corneal-endothelial-cell-counts-and-its-morphology-after-cataract-surgery
#2
Kourosh Shahraki, Mohammad Naeim Amini Fard, Farkhondeh Shahri, Rama Pourmatin, Tafgeh Mohammadi, Paria Ghasemi Boroumand, Kianoush Shahraki
BACKGROUND: Endophthalmitis is one of the most important complications after cataract surgery and in case event can cause many symptoms, such as severe decrease in eyesight and/or even the loss of vision. Employing methods to reduce this problem is very important. The aim of this study was to evaluate the effect of intracameral cefuroxime after cataract surgery on corneal endothelial cell counts and its morphology. METHODS: In this study, 32 eyes of 30 patients underwent endothelial cell count and morphology assessment by ConfoScan III device before and 1 month after cataract surgery...
June 2017: Interventional Medicine & Applied Science
https://www.readbyqxmd.com/read/28925927/postoperative-endophthalmitis-caused-by-bosea-thiooxidans
#3
Vaidehi S Dedania, Devon H Ghodasra, David N Zacks
PURPOSE: To report an unusual case of postcataract endophthalmitis secondary to Bosea thiooxidans. METHODS: Case report. RESULTS: An 86-year-old man presented with postoperative endophthalmitis 3 weeks after uncomplicated cataract surgery. He complained of a headache and blurry vision but denied having eye pain. Slit-lamp examination demonstrated leukocytes with a fibrinous membrane in the anterior segment and vitritis. A diagnosis of acute postoperative endophthalmitis was made, and the patient was treated with intravitreal antibiotics...
October 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28918060/outcomes-of-ahmed-glaucoma-valve-revision-in-pediatric-glaucoma
#4
Ahmed Mansour Al-Omairi, Aliah H Al Ameri, Sami Al-Shahwan, Arif O Khan, Ibrahim Al-Jadaan, Ahmed Mousa, Deepak P Edward
PURPOSE: Encapsulation of the Ahmed glaucoma valve (AGV) plate is a common cause for postoperative elevation of intraocular pressure, especially in children. Many reports have described the outcomes of AGV revision in adults. However, the outcomes of AGV revision in children are poorly documented. The aim of this study was to determine the outcomes of AGV revision in children. DESIGN: Retrospective cross sectional study METHODS: A retrospective chart review of patients less than 15 years of age who underwent AGV revision with a minimum postoperative follow-up of six months was conducted...
September 13, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28860868/feline-transmitted-staphylococcal-hyicus-endophthalmitis-after-clear-lens-extraction-a-case-report
#5
Shih-Chun Chao, Chia-Yi Lee, Chan-Wei Nien, Shih-Hao Tzeng, Hung-Yu Lin
BACKGROUND: Postoperative endophthalmitis is a dreaded postsurgery complication which may lead to legal blindness. In addition to typical risk factors, some minor episodes may also lead to the occurrence of endophthalmitis. The purpose of the current study was to report a case of acute postoperative endophthalmitis caused by Staphylococcus hyicus in a patient with a contact history of felines. CASE PRESENTATION: A 58-year-old Taiwanese female who had a history of contact with felines due to her occupation had received clear lens extraction surgery of the left eye on July 10, 2015...
2017: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/28858193/utility-of-intraoperative-optical-coherence-tomography-in-acute-endophthalmitis
#6
Shigeharu Yaginuma, Makoto Inoue, Yuji Itoh, Hiroyuki Takahashi, Akito Hirakata
PURPOSE: To evaluate the efficacy of intraoperative optical coherence tomography (OCT) during vitrectomy for acute endophthalmitis. METHODS: The intraoperative and postoperative images of an 87-year-old woman with acute endophthalmitis after uncomplicated cataract surgery were analyzed. RESULTS: At presentation, the vision of the patient was 20/2000, and the preoperative OCT was unable to obtain clear images because of vitreous opacities. Intraoperative OCT showed that the inner retinal layer was hyperreflective because of diffuse retinal edema...
August 28, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28832730/successful-treatment-of-fungal-endophthalmitis-using-intravitreal-caspofungin
#7
Ciprian Danielescu, Alina Cantemir, Dorin Chiselita
Fungal endophthalmitis is a rare condition often associated with poor prognosis. We present a case of postoperative acute fungal endophthalmitis caused by the yeast-like fungus Stephanoascus ciferrii (Candida ciferrii). The fungus was resistant to fluconazole, voriconazole, and amphotericin B but susceptible to caspofungin. Because the degree of vitreal penetration of caspofungin after its intravenous administration is unclear, we performed multiple intravitreal injections, first with 50 µg/0.1 ml and then with 250 µg/0...
June 2017: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/28822873/surface-modification-of-an-intraocular-lens-material-by-plasma-assisted-grafting-with-2-hydroxyethyl-methacrylate-hema-for-controlled-release-of-moxifloxacin
#8
A Paula Vieira, Andreia F R Pimenta, Diana Silva, M Helena Gil, Patrícia Alves, Patrícia Coimbra, José L G C Mata, Dimitriya Bozukova, Tiago R Correia, Ilídio J Correia, A Paula Serro, A Jorge Guiomar
Endophthalmitis, an inflammation of the eye due to perioperative infection, may occur after cataract surgery. Intraocular lenses (IOLs) loaded with an antibiotic have been proposed as an alternative to the conventional postoperative endophthalmitis prophylaxis, since the antibiotic is delivered directly to the target site. In this work, an IOL-based antibiotic releasing system was prepared from a copolymer used in the production of IOLs and a fluoroquinolone used in endophthalmitis prophylaxis (moxifloxacin, MFX)...
August 16, 2017: European Journal of Pharmaceutics and Biopharmaceutics
https://www.readbyqxmd.com/read/28810045/scleral-buckle-infection-with-pseudallescheria-boydii
#9
Janice C Law, Mark P Breazzano, Dean Eliott
Pseudallescheria boydii is a ubiquitous fungus that infects soft tissues and is known to cause ocular disease, including keratitis and endophthalmitis, in rare cases. In immunocompromised hosts, P. boydii can disseminate to or from the eye and other organs with lethal consequences. Postoperative P. boydii infections have, in rare cases, complicated several types of ocular surgeries in immunocompetent patients, but never for a scleral buckle. The authors present the first case of an infected scleral buckle from P...
August 1, 2017: Ophthalmic Surgery, Lasers & Imaging Retina
https://www.readbyqxmd.com/read/28807636/visual-outcomes-and-complications-of-type-i-boston-keratoprosthesis-in-children-a-retrospective-multicenter-study-and-literature-review
#10
Simon S M Fung, Samir Jabbour, Mona Harissi-Dagher, Reginald R G Tan, Patrick Hamel, Kashif Baig, Asim Ali
PURPOSE: To report outcomes and complications of Boston type 1 keratoprosthesis (KPro) implantation in children. DESIGN: Retrospective, multicenter case series. PARTICIPANTS: All children 16 years of age or younger who underwent KPro surgery at 3 ophthalmology centers in Canada between January 2010 and November 2014. METHODS: Records of patients having undergone KPro implantation were reviewed. Data on preoperative characteristics, surgical procedure(s) performed, and postoperative outcomes were collected and analyzed...
August 11, 2017: Ophthalmology
https://www.readbyqxmd.com/read/28774511/resident-performed-neodymium-yag-laser-posterior-capsulotomy
#11
Khalil Ghasemi Falavarjani, Mohammadreza Aghamirsalim, Kaveh Abri Aghdam
OBJECTIVE: To investigate the outcomes of resident-performed Nd:YAG laser posterior capsulotomy. DESIGN: Combined retrospective and prospective study. PARTICIPANTS: Patients (N = 301) who underwent Nd:YAG capsulotomy by ophthalmology residents at Rassoul Akram Hospital, Tehran, Iran. METHODS: Assessment of visual outcomes and complications and the results of second- and third-year residents. RESULTS: In the retrospective arm, 131 eyes of 129 patients were enrolled...
August 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28761031/indications-for-enucleation-and-evisceration-in-a-tertiary-eye-hospital-in-riyadh-over-a-10-year-period
#12
Saad A Al-Dahmash, Sawsan Saad Bakry, Nada H Almadhi, Lolwah M Alashgar
BACKGROUND: Enucleation and evisceration are eye removal procedures considered as palliative treatment when all other therapeutic options are exhausted. OBJECTIVE: Describe the causes and histopathological findings leading to enucleation/evisceration, and correlate the clinical findings with the histopathological findings. DESIGN: Retrospective, descriptive study. SETTINGS: Tertiary care hospital, Riyadh, Saudi Arabia...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28757748/postoperative-herpetic-endophthalmitis-a-case-report
#13
Ya-Yun Yang, Yuan-Chieh Lee
We report a case of herpetic endophthalmitis following cataract surgery. A 65-year-old man underwent uneventful phacoemulsification and vision improved within the first few postoperative days. However, visual loss with an anterior chamber reaction of ++++ and a ++ vitreous cell were noted in the 4th postoperative week. Repeated intravitreal injection of vancomycin and ceftriaxone, pars plana vitrectomy and removal of the intraocular lens (IOL), and the capsular bag were performed sequentially but in vain. Bacterial, mycobacterial, and fungal culture of the IOL and capsular bag demonstrated negative findings...
October 2016: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/28732619/endophthalmitis-prophylaxis-by-intracameral-antibiotics-in%C3%A2-vitro-model%C3%A2-comparing-vancomycin-cefuroxime-%C3%A2-and%C3%A2-moxifloxacin
#14
Peter E Libre, Sean Mathews
PURPOSE: To compare the efficacy of intracameral vancomycin, cefuroxime, and moxifloxacin on postoperative bacterial endophthalmitis rates. SETTING: Norwalk Hospital, Norwalk, Connecticut, USA. DESIGN: Experimental study. METHODS: Bacteria and intraocular lenses (IOLs) were incubated with vancomycin, cefuroxime, moxifloxacin, or combinations. Antibiotic concentrations were high, corresponding to clinical maximum intracameral doses (1...
June 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28707018/postoperative-enterococcus-faecalis-endophthalmitis-virulence-factors-leading-to-poor-visual-outcome
#15
Daisuke Todokoro, Takashi Suzuki, Shinichiro Kobayakawa, Haruyoshi Tomita, Yuichi Ohashi, Hideo Akiyama
Purpose Postoperative endophthalmitis caused by Enterococcus faecalis often results in poor visual outcome due to retinal destruction. We evaluated the virulence factors of Enterococcus faecalis clinical isolates and analyzed their relationship with retinal destruction and poor visual outcomes in postoperative bacterial endophthalmitis (PBE) following cataract surgery. STUDY DESIGN: Retrospective. METHODS: E. faecalis isolates from nine acute-onset PBE cases were examined using pulsed-field gel electrophoresis of genomic DNA, plasmid isolation and pheromone response experiments...
July 13, 2017: Japanese Journal of Ophthalmology
https://www.readbyqxmd.com/read/28689242/capsular-bag-irrigation-using-0-025-povidone-iodine-in-balanced-salt-solution-plus-for-the-treatment-of-postoperative-endophthalmitis
#16
Kyuen Otani, Hiroyuki Shimada, Hiroyuki Nakashizuka, Hirofumi Okubo
We examined the effectiveness and adverse events of using balanced salt solution (BSS) PLUS containing 0.025% povidone-iodine, a non-oculotoxic concentration, for capsular bag irrigation in a case of endophthalmitis mainly involving the anterior chamber. A 57-year-old female underwent cataract surgery and developed hypopyon on day 3 after surgery, with mainly anterior chamber inflammation. The capsular bag was irrigated with BSS PLUS containing 0.025% povidone-iodine. Gram-negative rods were detected from the anterior chamber fluid...
July 8, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28665442/a-case-of-endophthalmitis-after-bilateral-medial-rectus-recession
#17
Sagar B Patel, Nikitha Reddy, Robert N Hogan, Jennifer H Cao
A 9-month-old male infant with a history of Down syndrome underwent bilateral medial rectus recession. Two weeks postoperatively, he developed leukocoria of the left eye with a white opacity posterior to the lens, numerous undulations, necrosis, and hemorrhages in the retrolental space. His contralateral eye had white retinal lesions nasally. Ultrasound examination of the left eye showed a funnel retinal detachment, loculated debris, and a small, central, hyperechoic area concerning for calcification. He underwent enucleation because retinoblastoma could not be definitively ruled out...
June 29, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28644177/a-case-of-intravesical-bacillus-calmette-guerin-related-endophthalmitis-and-retinitis-confirmed-with-retinal-biopsy
#18
Alison Huggins, Murtaza Adam, David Ehmann, Ralph C Eagle, Barry Malloy, Sunir J Garg
PURPOSE: To present a rare case of bilateral endogenous chorioretinitis and unilateral endophthalmitis due to Mycobacterium bovis in a patient who received intravesical bacillus Calmette-Guerin (BCG) treatment. METHODS: We present a case of a single male patient with bilateral endogenous chorioretinitis due to Mycobacterium bovis in a patient who received intravesical BCG, an attenuated strain of M. bovis widely used to treat superficial bladder cancer. The patient underwent intravitreal tap, vitrectomy, and chorioretinal biopsy with histologic examination...
June 20, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28631638/clinicomicrobiological-profile-of-endophthalmitis-a-10-year-experience-in-a-tertiary-care-center-in-north-india
#19
Gita Satpathy, Niranjan Nayak, Meenakshi Wadhwani, Pradeep Venkwatesh, Atul Kumar, Yograj Sharma, Vishnu Sreenivas
PURPOSE: To determine the clinicomicrobiological profile of infectious agents and their antibiotic susceptibility in different type of endophthalmitis. METHODS: A retrospective review of clinical and microbiological records from January 2001 to December 2010, was performed in 1110 patients diagnosed with different type of endophthalmitis (postoperative, posttraumatic, endogenous and post keratitis) to record the demographic details, clinical presentations; microbiological agents isolated with their antimicrobial sensitivity pattern...
April 2017: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/28619977/infectious-crystalline-keratopathy-after-descemet%C3%A3-%C3%A2-%C3%A2-s-stripping-endothelial-keratoplasty
#20
Ashley J Porter, Graham A Lee, Kevin Whitehead
A 68-year-old woman presented with infectious crystalline keratopathy 4 months after she underwent a combined phacoemulsification and Descemet's stripping endothelial keratoplasty for Fuch's endothelial dystrophy in her left eye. After 5 months of topical moxifloxacin 1%, the infiltrate responded well but had not completely resolved, with the resulting endothelial failure requiring a penetrating keratoplasty 9 months after the initial operation. Microbiology identified Enterococcus faecalis with the histopathology demonstrating bacterial colonies within the graft interface...
June 14, 2017: BMJ Case Reports
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