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. |
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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 |
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