Streptococcus mitis/oralis endophthalmitis management without phakic intraocular lens removal in patient with iris-fixated phakic intraocular lens implantation

التفاصيل البيبلوغرافية
العنوان: Streptococcus mitis/oralis endophthalmitis management without phakic intraocular lens removal in patient with iris-fixated phakic intraocular lens implantation
المؤلفون: Chung, Jin, Lee, Sung
بيانات النشر: BioMed Central Ltd.
سنة النشر: 2014
المجموعة: BioMed Central
مصطلحات موضوعية: Streptococcus mitis/oralis, Endophthalmitis, Iris-fixated phakic intraocular lens, Antibiotic injection
الوصف: Background To report a case of Streptococcus mitis/oralis endophthalmitis management which had developed after complicated iris-fixated phakic intraocular (pIOL) lens implantation. Case presentation A 23-year-old-woman received pIOL implantation followed secondary intraocular intervention to lower intraocular pressure. The patient presented with severe pain and decreased visual acuity and was managed with intravitreal and intracameral antibiotic injection with topical applications of fortified antibiotics. Culture of aqueous humor was positive for S. mitis/oralis , which was sensitive to the empiric antibiotic regimen. Clinical features started to improve 5 days after treatment and the pIOL was left in place. The uncorrected distant visual acuity and endothelial cell count were 20/32 and 3143cells/mm 2 four weeks after treatment, respectively. Conclusion S. mitis/oralis endophthalmitis after pIOL implantation could be managed with appropriate antibiotic administration without pIOL removal if accompanied by rapid clinical improvement after the initial intensive management in the absence of vitreous involvement.
نوع الوثيقة: report
اللغة: English
العلاقة: http://www.biomedcentral.com/1471-2415/14/92Test
الإتاحة: http://www.biomedcentral.com/1471-2415/14/92Test
حقوق: Copyright 2014 Chung and Lee; licensee BioMed Central Ltd.
رقم الانضمام: edsbas.F2A653F
قاعدة البيانات: BASE