Korean J Ophthalmol.  2012 Aug;26(4):306-308. 10.3341/kjo.2012.26.4.306.

A Case of Postoperative Endophthalmitis by Extended-spectrum Beta-lactamase-producing Escherichia coli

• Kim YC
• Kim KS

• KMID: 1387400
• DOI: http://doi.org/10.3341/kjo.2012.26.4.306

Abstract

A 75-year-old female was transferred to our clinic three days after uneventful phacoemulsification with intraocular lens (IOL) implantation in the right eye that had been carried out at a local clinic. Under the diagnosis of postoperative endophthalmitis, the patient underwent pars plans vitrectomy, IOL explantation, silicone oil tamponade, and intravitreal antibiotic injection. Even after the procedure, the patient's condition was further aggravated, and extended-spectrum beta-lactamase-producing Escherichia coli were identified on bacterial identification test. Although meropenem was applied locally and systemically, the patient had no-light perception visual acuity.

Keyword

Beta-lactamases; Endophthalmitis; Escherichia coli

MeSH Terms

Aged
Anti-Bacterial Agents/therapeutic use
Endophthalmitis/drug therapy/*microbiology
Escherichia coli/*isolation & purification
Female
Humans
Phacoemulsification
Postoperative Complications/diagnosis/*microbiology
Visual Acuity
beta-Lactamases