title: Management of post-operative Nocardia endophthalmitis.
abstract: Post-operative Nocardia endophthalmitis has an aggressive course and poor visual prognosis. It often masquerades as severe post-operative uveitis or toxic anterior segment syndrome due to the absence of vitreous involvement resulting in a delay in diagnosis. The poor prognosis in Nocardia endophthalmitis is due to severe intra-ocular inflammation which may lead to phthisis. Therefore, treatment with corticosteroids after appropriate antibiotics have been initiated may improve the outcome. This is an interventional case report highlighting the typical features of Nocardia endophthalmitis, which when diagnosed early and managed medically with antibiotics and steroids, resulted in an excellent visual outcome in our patient.
authors.affiliation: Department of Ophthalmology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Z S
authors.initials: ZS
authors.lastname: Pradhan
authors.forename: P
authors.initials: P
authors.lastname: Jacob
authors.forename: S
authors.initials: S
authors.lastname: Korah
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D004359:Drug Therapy, Combination / Q000379:methods; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D005123:Eye / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009615:Nocardia / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents