Streptococcus mitis/oralis endophthalmitis management without phakic intraocular lens removal in patient with iris-fixated phakic intraocular lens implantation

BMC Ophthalmology

Case Report

Jin Kwon Chung¹  Sung Jin Lee¹ 

[1] Department of Ophthalmology, Soonchunhyang University Hospital, 59, Daesagwan-gil, 140-743, Seoul, Yongsan-gu, Republic of Korea;

关键词: Streptococcus mitis/oralis;    Endophthalmitis;    Iris-fixated phakic intraocular lens;    Antibiotic injection;   

DOI  :  10.1186/1471-2415-14-92

 received in 2014-01-20, accepted in 2014-07-10,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundTo report a case of Streptococcus mitis/oralis endophthalmitis management which had developed after complicated iris-fixated phakic intraocular (pIOL) lens implantation.Case presentationA 23-year-old-woman received pIOL implantation followed secondary intraocular intervention to lower intraocular pressure. The patient presented with severe pain and decreased visual acuity and was managed with intravitreal and intracameral antibiotic injection with topical applications of fortified antibiotics. Culture of aqueous humor was positive for S. mitis/oralis, which was sensitive to the empiric antibiotic regimen. Clinical features started to improve 5 days after treatment and the pIOL was left in place. The uncorrected distant visual acuity and endothelial cell count were 20/32 and 3143cells/mm2 four weeks after treatment, respectively.ConclusionS. mitis/oralis endophthalmitis after pIOL implantation could be managed with appropriate antibiotic administration without pIOL removal if accompanied by rapid clinical improvement after the initial intensive management in the absence of vitreous involvement.

【 授权许可】

CC BY   
© Chung and Lee; licensee BioMed Central Ltd. 2014