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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


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


Ophthalmology service. University Hospital of Burgos. Burgos, Spain


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.


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.


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:


Financial Disclosure:


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