Purpose: To describe the first reported case of endophthalmitis after 20-gauge vitrectomy caused by Serratia marcescens.
Methods: Retrospective case report.
Results: An 86-year-old woman underwent a standard 20-gauge vitrectomy for repair of a chronic rhegmatogenous retinal detachment. All sclerotomies were sutured at the completion of the case. Within 2 days after surgery, she developed severe endophthalmitis. A bacterial culture of her aqueous sample was positive for S. marcescens. Despite the culture-demonstrated sensitivity of this organism to the antibiotics given intravitreally, systemically, and topically to treat this infection, her condition deteriorated, and she developed panophthalmitis, orbital cellulitis, a corneal ulcer, and eventual no light perception vision.
Conclusions: This is the first reported case of S. marcescens endophthalmitis after vitrectomy surgery. Endophthalmitis caused by S. marcescens has a poor visual prognosis and may show an in vivo clinical resistance to antibiotic therapy regardless of in vitro culture sensitivities.
[Endophthalmitis--clinical Picture, Therapy and Prevention]P Meier et al. Klin Monbl Augenheilkd 210 (4), 175-91. PMID 9235391. - ReviewThe therapeutic principles for treatment of acute postoperative endophthalmitis are determined by the endophthalmitis-vitrectomy-study. Further investigations are require …
Serratia Marcescens Endophthalmitis After Pterygium Surgery: A Case ReportMY Yi et al. BMC Ophthalmol 17 (1), 197. PMID 29096629. - Case ReportsThis is the first reported case of S. marcescens endophthalmitis after pterygium surgery. Endophthalmitis caused by S. marcescens has a devastating visual prognosis and m …
Endophthalmitis Caused by Proteus Species: Antibiotic Sensitivities and Visual Acuity OutcomesT Leng et al. Retina 29 (7), 1019-24. PMID 19584659.Despite prompt treatment with appropriate antibiotics, the clinical outcome for Proteus species endophthalmitis is often poor.
Incidence of Endophthalmitis After 20- And 25-gauge Vitrectomy Causes and PreventionH Shimada et al. Ophthalmology 115 (12), 2215-20. PMID 18930557.The incidence of endophthalmitis was 0.03% for both 20-G and 25-G vitrectomies. This is the first data set to demonstrate no statistically significant difference between …
Endophthalmitis Caused by Streptococcus PneumoniaeJJ Miller et al. Am J Ophthalmol 138 (2), 231-6. PMID 15289132.Despite prompt treatment with appropriate antibiotics, endophthalmitis caused by Streptococcus pneumoniae is associated with a poor visual prognosis.
Cited by 1 PubMed Central articles
Endogenous Serratia marcescens Panophthalmitis: A Case SeriesMP Breazzano et al. Am J Ophthalmol Case Rep 16, 100531. PMID 31508534. - Case ReportsNeedle licking may be an underappreciated mechanism for endogenous endophthalmitis in intravenous drug users. This report includes the first case in the literature, to au …