J Korean Ophthalmol Soc.  2006 Nov;47(11):1853-1858.

A Case of Enterococcus Faecalis Endophthalmitis after Phacoemulsification

• Kim JT
• Lee JK
• Moon NJ
• Cho HK

Abstract

PURPOSE: To report a case of Enterococcus faecalis endophthalmitis which occurred two days after phacoemulsification and posterior chamber intraocular lens implantation. A vitrectomy performed during the early stage of infection showed retinal and vitreous presentation. We report the clinical manifestation, operative findings, and treatment of this pathogen.
METHODS
A healthy, 71-year-old female, presented with a sudden loss of vision and eyeball pain two days after phacoemulsification and intraocular lens implantation. As inflammation of the anterior chamber and vitreous cavity progressed rapidly, we performed intravitreal antibiotics injection (Amikacin, 0.4 mg/0.1 ml, Vancomycin, 1 mg/0.1 ml). Since this was ineffective, pars plana vitrectomy, silicone oil tamponade, and intravitreal antibiotics injection (Vancomycin, 1 mg/0.1 ml) were performed. During the procedure, we noted that the vitreous humor was cloudy and apparently filled with pus. We also noted an edematous retina with hemorrhages and necrotic changes. Enterococcus faecalis was identified on vitreous and aqueous fluid culture.
RESULTS
Twelve weeks after vitrectomy, her corrected visual acuity was hand motion and there was no evidence of recurrence.

Keyword

Enterococcus feacalis; Endophthalmitis; Vitrectomy; Silicone oil

MeSH Terms

Aged
Anterior Chamber
Anti-Bacterial Agents
Endophthalmitis*
Enterococcus faecalis*
Enterococcus*
Female
Hand
Hemorrhage
Humans
Inflammation
Lens Implantation, Intraocular
Phacoemulsification*
Recurrence
Retina
Retinaldehyde
Silicone Oils
Suppuration
Vancomycin
Visual Acuity
Vitrectomy
Vitreous Body
Anti-Bacterial Agents
Retinaldehyde
Silicone Oils
Vancomycin