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Retinal cases & brief reports · 2012

Bacillus licheniformis as a cause of delayed-onset recurrent pseudophakic endophthalmitis-a rare case report.

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Padhi Tapas Ranjan, Sharma Savitri, Das Sujata, Das Taraprasad

Аннотация

PURPOSE: To report a case of delayed-onset recurrent pseudophakic endophthalmitis caused by Bacillus licheniformis.

METHOD: Retrospective review of a case.

RESULTS: A 30-year-old lady (s/p pseudophakia 10 years) presented with features of acute endophthalmitis and a vision of light perception in the left eye. She had received 15 intravitreal injections and systemic corticosteroids earlier for similar complaints. A core vitrectomy and intravitreal antibiotics injection improved her vision to 20/70, although the symptoms recurred a week later. Intraocular lens explantation with a repeat vitrectomy and intravitreal antibiotics was performed. The vitreous/aqueous fluid on both occasions grew B. licheniformis sensitive to fluoroquinolones, vancomycin, and gentamicin. One year after the second surgery, her vision was 20/30 with a quiet eye.

CONCLUSION: This case shows that delayed-onset recurrent endophthalmitis after cataract extraction may be caused by Bacillus spp. and, despite sensitivity to most antibiotics, may require intraocular lens explantation for eradication of the infection.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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