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Abstract #22629 Published in IGR 11-1
Streptococcus intermedius-associated late-onset endophthalmitis after trabeculectomy with adjunctive mitomycin C
Mochizuki K; Kumada M; Suemori S; Kawakami H; Sawada A; Yamamoto T; Mikamo HJournal of Glaucoma 2009; 18: 79-80
PURPOSE: To report a woman with congenital rubella syndrome of delayed-onset, bleb-related endophthalmitis induced by Streptococcus intermedius. METHODS: Interventional case report. RESULTS: A 33-year-old woman who underwent bilateral trabeculectomy with adjunctive mitomycin C, 11 years earlier presented with redness and blurred vision in her right eye. She had received a topical antimicrobial agent because of bleb leak before presentation. She underwent anterior chamber tap and complete vitrectomy with intravitreal antibiotics. Cultures from the vitreous aspirate grew gram-positive cocci. The DNA from the microorganism was sequenced and identified as S. intermedius. Three months after the surgical intervention, her right eye showed no residual inflammation with a best-corrected visual acuity of 30/200. CONCLUSIONS: Bleb-associated endophthalmitis caused by S. intermedius is responsive to intravitreal antibiotics and vitrectomy, and special care should be taken to identify a bacterial pathogen.
Dr. K. Mochizuki, Department of Ophthalmology, Gifu University Graduate School of Medicine, Gifu, Japan
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
