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Acute bacterial endophthalmitis after corneal suture removal: a case report

Poster Details

First Author: N.Mendieta Rasos SPAIN

Co Author(s):    R. Pinon Mosquera   A. Sanchez Ramon                 

Abstract Details

Purpose:

To describe a case report about an acute bacterial endophthalmitis following suture removal after a penetrating ocular trauma

Setting:

Ophthalmology service. University Hospital of Burgos. Burgos, Spain

Methods:

An 88 year-old woman was referred to our emergency department with a painful red eye and decreased vision in her right eye. She had suffered a penetrating ocular trauma three months before. Six days before this episode, the corneal sutures had been removed with topical antibiotic prophylaxis. At the examination, she had a visual acuity (VA) of light perception, 3+ cells in the anterior chamber and a dense vitritis in the fundoscopy. Retinal detachment was ruled out by an ocular echography. She was treated with intravitreal vancomycin and ceftazidine, oral prednisone and topical moxifloxacin and atropine.

Results:

The patient presented a favourable evolution with a resolution of the ocular infection. One month after the episode she had a VA of 0.2, with no cells in the anterior chamber and a clear vitreous with disperse retinal microhemorrhages. Before the endophthalmitis episode the VA was of 0.3. Cultures were positive for staphylococcus epidermidis.

Conclusions:

Endophthalmitis is an infrequent complication after cataract extraction. It has also been described after suture removal following a penetrating keratolasty or cataract surgery. Povidone – iodine 5% topical solution is more effective than topical antibiotic in minimizing the number of colony-forming units of the external flora. Therefore, we think that its instillation before suture removal should be considered to prevent this complication.

Financial Disclosure:

NONE.

Financial Disclosure:

NONE

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