Endoftalmitis recurrente en queratoplastia penetrante, por flora mixta
- JL García Serrano
- I Domínguez
- D Serrano Laborda
ISSN: 0365-6691
Year of publication: 2004
Volume: 79
Issue: 2
Pages: 89-92
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Objective/Methods: One month after penetrating keratoplasty, a male patient suffered recurrent abscess and endophthalmitis caused by mixed bacteria (Staphylococcus aureus and Candida Albicans). Results: Two samples of vitreous and aqueous were taken, and a combination of systemic Vancomycin and Amphotericin B were injected intravitreally. The patient was asymptomatic for a month, but the abscess reactivated and was treated with Vancomycin and Ciprofloxacin administered intravenously. Fifteen days after withdrawing the treatment endophthalmitis returned and was treated with vitrectomy and additional systemic/intravitreal antibiotics and antifungal therapy. The final visual acuity was 20/40. Conclusions: The delayed vitrectomy proved to be necessary to remove established germs and to eliminate recurrent infections.
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