J Korean Ophthalmol Soc.  2005 Sep;46(9):1597-1604.

Posttraumatic Bacillus Cereus Endophthalmitis

• Kim MJ
• Chang BH
• Kim IC
• Lee DW
• Ahn M

Abstract

PURPOSE
We encountered two patients who developed Bacillus cereus endophthalmitis following trauma and eventually underwent enucleation, after aggressive antibiotic therapy. METHODS: When removing the intraocular foreign bodies, vancomycin and ceftazidime were injected intravitreally. The patients received postoperative topical fortified antibiotics hourly and underwent intravenous antibiotic therapy. RESULTS: After the operation, rapid corneal melting progressed to impending perforation in one patient's eye and enucleation was done on postoperative day 11. The eye of another patient progressed to phthisis bulbi and the patient underwent enucleation on postoperative day 45. CONCLUSIONS: Bacillus cereus is one of the most aggressive and devastating organisms that causes post-traumatic endophthalmitis and results in poor visual outcome. It is thought to be better to prevent the loss of anatomic integrity and visual function than to perform early intravitreal injection of antibiotics when the operation might be delayed.

Keyword

Bacillus cereus endophthalmitis; Intravitreal injection

MeSH Terms

Anti-Bacterial Agents
Bacillus cereus*
Bacillus*
Ceftazidime
Endophthalmitis*
Foreign Bodies
Freezing
Humans
Intravitreal Injections
Vancomycin
Anti-Bacterial Agents
Ceftazidime
Vancomycin