Bacterial endophthalmitis resulting from radial keratotomy.
Staphylococcus epidermis endophthalmitis developed nine days after surgery in a 47-year-old man who underwent a 16-incision radial keratotomy during which the cornea was inadvertently perforated. The anterior chamber showed marked cellular reaction and flare and there was a 5% hypopyon inferiorly. There was also a marked cellular reaction in the vitreous, which contained many fluffy white balls. Visual acuity decreased to counting fingers at 1 foot. A pars plana vitrectomy and intraocularly, periocularly, intravenously, and topically administered antibiotics resulted in recovery of the visual acuity to 6/9 (20/30).
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003315:Cornea / Q000601:surgery*; D009877:Endophthalmitis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D014822:Vitreous Body / Q000601:surgery
D000900:Anti-Bacterial Agents