A Case of Enterococcus Faecalis Endophthalmitis with Corneal Ulcer.

Lee,  Sun Min; Lee,  Jeong Hee

doi:2004.18.2.175

Korean J Ophthalmol > Volume 18(2); 2004 > Article

Case Report

Korean Journal of Ophthalmology 2004;18(2):175-179.
DOI: https://doi.org/10.3341/kjo.2004.18.2.175 Published online December 30, 2004.

A Case of Enterococcus Faecalis Endophthalmitis with Corneal Ulcer.

Sun Min Lee, Jeong Hee Lee

Department of Ophthalmology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.

Abstract

Although there have been a few reported cases of Enterococcal endophthalmitis, this is an unusual case of endophthalmitis complicated with corneal ulcer caused by Enterococcus faecalis. A 67-year-old male patient with diabetes mellitus underwent secondary intraocular lens implantation. Post-operative recovery was uneventful until a wound rupture was noted 3 weeks after the operation. On day 12 after the repair of the wound, endophthalmitis accompanied by wound necrosis and a fullthickness corneal ulcer was detected. His vision was light perception, and Enterococcus faecalis was identified by culture in samples of conjunctival sac, anterior chamber and vitreous humor. After 3 rounds of intravitreal antibiotics injection, the vitreous opacity disappeared on ultrasonographic finding but corneal opacity and corneal neovascularization still remained.

Key Words: corneal ulcer;endophthalmitis;Enterococcus faecalis