A case of endogenous Enterococcus faecalis endophthalmitis.
A case of successful treatment by vitrectomy and lensectomy of early-stage endogenous endophthalmitis caused by Enterococcus faecalis was reported. The case was a 50-year-old man with poorly controlled diabetes. Following T-tube drainage for a necrotic cholecystitis operation, he developed iridocyclitis in both eyes as well as fever. At the time of his first visit to our clinic, his right eye had already lost light perception. His left eye had visual acuity recognizing hand movement, marked uveitis, complicated cataract, and dense vitreous opacity. As gram-positive cocci were isolated from the aspirated vitreous, lensectomy and vitrectomy under irrigation with antibiotics were conducted. After the administration of systemic postoperative antibiotics and human immunoglobulin, the patient showed remarkable improvement in the state of his ocular fundus. By 60 days after the surgery, the visual acuity of his left eye recovered to 0.2. Endogenous Enterococcus faecalis endophthalmitis has rarely been reported in Japan. The diagnosis and treatment of this disease with reference to the above findings were discussed.
Uchio
E
E
Department of Ophthalmology, Yokohama City University School of Medicine, Japan.
Inamura
M
M
Okada
K
K
Hatano
H
H
Saeki
K
K
Ohno
S
S
D002387:Cataract Extraction; D004596:Electroretinography; D009877:Endophthalmitis / Q000382:microbiology*; D013293:Enterococcus faecalis; D015818:Eye Infections, Bacterial; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D016908:Gram-Positive Bacterial Infections; D006801:Humans; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography; D014821:Vitrectomy; D014822:Vitreous Body / Q000000981:diagnostic imaging / Q000382:microbiology