Endocapsular cellulomonas as a cause of persistent postoperative endophthalmitis.
Sequestration of bacteria within the capsular fornices after cataract extraction with intraocular lens implantation can cause both acute and chronic inflammation. A case of persistent postoperative endophthalmitis caused by capsular sequestration of Cellulomonas is described. The patient underwent uncomplicated cataract extraction with intraocular lens implantation and subsequently developed acute postoperative endophthalmitis. Inflammation persisted despite several vitreous taps and the injection of intravitreal antibiotics. Definitive treatment required pars plana vitrectomy, intraocular lens explantation, capsular bag removal, and intravitreal and parenteral antibiotics. In patients with postoperative endophthalmitis, one must consider atypical organisms as the source and should consider explantation of the intraocular lens with capsular bag removal.
Sharma
Shobha
S
Division of Infectious Diseases, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
Saffra
Norman A
NA
Chinyadza
Tanyanyiwa
T
Ghitan
Monica
M
Chapnick
Edward K
EK
D000193:Actinomycetales Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D040143:Cellulomonas / Q000302:isolation & purification*; D003131:Combined Modality Therapy; D020878:Device Removal; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000382:microbiology*; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification; D011183:Postoperative Complications; D014821:Vitrectomy
D000900:Anti-Bacterial Agents