European journal of ophthalmology · 2019
Endophthalmitis after dropless (Tri-Moxi injection) cataract surgery.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ng Caleb, Chalam Kakarla V
Аннотация
INTRODUCTION: A case of endophthalmitis after dropless cataract surgery with intravitreal Tri-Moxi associated with severe vision loss.
CASE SUMMARY: An 82-year-old male developed severe vision loss in the left eye 24 days after dropless cataract surgery with intravitreal Tri-Moxi injection. Best corrected visual acuity was hand motion in the left eye. Intraocular pressure was 13, with inferior keratic precipitates, 4 + cell with 1 mm layered hypopyon, and a plaque on the posterior capsule that blocked direct exam of the posterior segment. Ultrasonography revealed extensive vitritis without retinal or choroidal detachments.
CONCLUSION: Endophthalmitis resolved and vision improved after management with vitreous tap, intravitreal and fortified topical antibiotics, and subsequent prompt pars plana vitrectomy. Vitreous sample grew fluoroquinolone-resistant staphylococcus epidermidis.
CASE SUMMARY: An 82-year-old male developed severe vision loss in the left eye 24 days after dropless cataract surgery with intravitreal Tri-Moxi injection. Best corrected visual acuity was hand motion in the left eye. Intraocular pressure was 13, with inferior keratic precipitates, 4 + cell with 1 mm layered hypopyon, and a plaque on the posterior capsule that blocked direct exam of the posterior segment. Ultrasonography revealed extensive vitritis without retinal or choroidal detachments.
CONCLUSION: Endophthalmitis resolved and vision improved after management with vitreous tap, intravitreal and fortified topical antibiotics, and subsequent prompt pars plana vitrectomy. Vitreous sample grew fluoroquinolone-resistant staphylococcus epidermidis.
Предметные рубрики MeSH
Aged, 80 and overAnti-Bacterial AgentsCataract ExtractionDrug CombinationsDrug ImplantsDrug Resistance, BacterialEndophthalmitisEye Infections, BacterialGlucocorticoidsHumansIntravitreal InjectionsMaleMoxifloxacinStaphylococcal InfectionsStaphylococcus epidermidisTobramycin, Dexamethasone Drug CombinationTriamcinoloneVancomycinVitrectomy