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Delayed-onset micrococcus luteus-induced postoperative endophthalmitis several months after cataract surgery:A case report

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世界临床病例杂志 2023年第27期11卷 6592-6596页

作者： ki-yup nam Hong-Won Lee Department of Ophthalmology Chungnam National UniversityCollege of MedicineDaejeon 35015South Korea Department of Ophthalmology Chungnam National University HospitalDaejeon 35015South Korea

BACKGROUND Micrococcus luteus(***)-induced endophthalmitis is very rare and and may present as either acute or chronic postoperative *** aim of this study was to report a case of delayed-onset ***-induced endophthalmitis that occurred several months after cataract *** SUMMARY A 78-year-old man presented with decreased vision,pain and redness in the right eye that had begun 3 days *** had undergone cataract surgery 4 mo *** acuity was counting fingers;slit-lamp examination revealed conjunctival injection,posterior corneal precipitates,anterior chamber inflammation(cell 4+),and *** examination revealed moderate vitreous *** vitrectomy was performed for suspected infectious endophthalmitis,followed by vitreous irrigation with injections of *** the postoperative day 1,anterior chamber cell decreased to 2+and hypopyon was not observed on slit lamp *** days postoperatively,the patient had recurrent eye pain,and the anterior chamber cell grade increased to 4+;hypopyon recurred in the anterior chamber,and whitish plaque was observed in the lens ***,the patient underwent intraocular lens(IOL)and lens capsule removal,followed by vitreous irrigation,antibiotics injection,and *** was identified from a lens capsule *** In cases of delayed-onset ***-induced endophthalmitis,early vitrectomy and removal of the IOL and lens capsule may be necessary.

关键词： Micrococcus luteus Chronic endophthalmitis Postoperative endophthalmitis Case report

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Delayed-onset endophthalmitis associated with Achromobacter species developed in acute form several months after cataract surgery:Three case reports

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World Journal of Clinical Cases 2022年第19期10卷 6496-6500页

作者： Tae-Hoon kim Sang-Joon Lee ki-yup nam Department of Ophthalmology Kosin University HospitalBusan 49267South Korea Department of Ophthalmology Kosin UniversityCollege of MedicineBusan 49267South Korea Department of Ophthalmology Chungnam National UniveristyCollege of MedicineDaejeon 35015South Korea Department of Ophthalmology Chungnam National University Sejong HospitalSejong 30099South Korea

BACKGROUND Achromobacter species-associated endophthalmitis is rare and may present as either acute or chronic postoperative ***-onset Achromobacter species endophthalmitis appearing in acute presentation that develops more than several months after cataract surgery is very *** lens(IOL)removal is commonly recommended to treat Achromobacter species endophthalmitis,which is based on previous ***,we report the results of surgery without IOL removal when treating patients with delayed-onset postoperative Achromobacter species endophthalmitis that developed in an acute *** SUMMARY Three patients visited our ophthalmology clinic due to visual impairment that began 2-3 d *** had undergone cataract surgery 5-18 mo *** visual acuity of the diseased eye was between counting fingers at 30 cm to non-light *** showed conjunctival injection,inflammation in the anterior chamber(cell reaction 4+)and hypopyon *** patients were diagnosed with infectious endophthalmitis and immediately underwent pars plana vitrectomy,anterior chamber irrigation and intravitreal injection of ceftazidime and *** fluid infusion,a vitreous specimen was obtained. In all cases, the IOLs were not removed. Achromobacter species was detected on vitreousspecimen culture. After surgery, the vitreous opacity decreased gradually and there was littleretinal damage. At 1 mo after treatment, the best-corrected visual acuity had improved to 20/50and 20/*** onset postoperative endophthalmitis caused by Achromobacter species can appear in anacute form. All patients responded well to early vitrectomy and administration of empiricalantibiotics including ceftazidime. There was no need for IOL removal during surgery.

关键词： Achromobacter species Chronic endophthalmitis Postoperative endophthalmitis Case report

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