A case of endophthalmitis associated with limbal relaxing incision

Indian J Ophthalmol. May-Jun 2012;60(3):223-5. doi: 10.4103/0301-4738.95879.

Abstract

Limbal relaxing incisions (LRIs) are considered a relatively safe procedure with rapid stabilization and absence of infectious complications. Do we need to readdress this last impression? We report a case of nocardia endophthalmitis associated with an exudate at the site of an LRI in a patient who underwent routine cataract surgery. This case, to the best of our knowledge, is the first report of its kind, stressing the need for a cautious approach to the adoption of this method of astigmatic correction.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cataract Extraction / adverse effects*
  • Cataract Extraction / methods
  • Diagnosis, Differential
  • Endophthalmitis / diagnosis
  • Endophthalmitis / etiology*
  • Endophthalmitis / therapy
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / etiology*
  • Eye Infections, Bacterial / therapy
  • Follow-Up Studies
  • Humans
  • Limbus Corneae / surgery*
  • Male
  • Middle Aged
  • Nocardia Infections / diagnosis
  • Nocardia Infections / etiology*
  • Nocardia Infections / therapy
  • Nocardia asteroides / isolation & purification
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / etiology*
  • Surgical Wound Infection / therapy
  • Vitrectomy
  • Vitreous Body / microbiology
  • Vitreous Body / surgery

Substances

  • Anti-Bacterial Agents