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Title: Recurrent Enterococcus faecalis endophthalmitis after phacoemulsification
Authors: Teoh, S.C.B.
Lee, J.-J.
Chee, C.K.L.
Au Eong, K.-G. 
Issue Date: Mar-2005
Citation: Teoh, S.C.B., Lee, J.-J., Chee, C.K.L., Au Eong, K.-G. (2005-03). Recurrent Enterococcus faecalis endophthalmitis after phacoemulsification. Journal of Cataract and Refractive Surgery 31 (3) : 622-626. ScholarBank@NUS Repository.
Abstract: We present the first reported case of late recurrence of postoperative Enterococcus faecalis endophthalmitis after cataract surgery in a 45-year-old diabetic man. Culture-positive E faecalis endophthalmitis was diagnosed 2 days after uneventful phacoemulsification. Early vitrectomy with intravitreal and subconjunctival vancomycin and amikacin and topical vancomycin resulted in apparently complete clinical resolution after 4 months and a best corrected visual acuity of 20/25. Recurrent endophthalmitis with hypopyon occurred 7 months postoperatively and resolved with intravitreal vancomycin and topical prednisolone acetate 1%. However, the patient had a similar relapse at 9 months that resulted in deterioration of visual acuity to no light perception despite a repeat vitrectomy, intraocular lens explantation, capsular bag removal, and intravitreal antibiotics. The late recurrences could have been the result of persistent sequestration of the organism in the capsular bag. © 2005 ASCRS and ESCRS.
Source Title: Journal of Cataract and Refractive Surgery
ISSN: 08863350
DOI: 10.1016/j.jcrs.2004.06.047
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