Coagulase-negative Staphylococcus endophthalmitis after cataract surgery with intraocular vancomycin.
OBJECTIVE
We studied a case of postoperative coagulase-negative Staphylococcus endophthalmitis in a 79-year-old man who had undergone cataract extraction in which vancomycin had been used intraoperatively in the infusion fluid.


METHODS
The medical records were reviewed for the clinical history, ocular findings, and the vitreous and anterior chamber culture results.


RESULTS
Acute, postoperative coagulase-negative Staphylococcus endophthalmitis developed in the patient in whom vancomycin had been used intraoperatively in the infusion fluid.


CONCLUSIONS
Restraint is urged in the prophylactic use of vancomycin in the infusion fluids.
Townsend-Pico
W A
WA
Division of Ophthalmology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Meyers
S M
SM
Langston
R H
RH
Costin
J A
JA
D000208:Acute Disease; D000368:Aged; D000867:Anterior Chamber / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002387:Cataract Extraction / Q000009:adverse effects*; D003030:Coagulase; D004352:Drug Resistance, Microbial; D009877:Endophthalmitis / Q000188:drug therapy / Q000209:etiology*; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007267:Injections; D007910:Lenses, Intraocular; D008297:Male; D008826:Microbial Sensitivity Tests; D011183:Postoperative Complications; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology*; D013210:Staphylococcus / Q000201:enzymology / Q000302:isolation & purification; D014640:Vancomycin / Q000627:therapeutic use*; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents; D003030:Coagulase; D014640:Vancomycin