Coagulase-negative Staphylococcus endophthalmitis after cataract surgery with intraocular vancomycin

Am J Ophthalmol. 1996 Mar;121(3):318-9. doi: 10.1016/s0002-9394(14)70281-8.


Purpose: We studied a case of postoperative coagulase-negative Staphylococcus endophthalmitis in a 79-year-old man who had undergone cataract extraction in which vancomycin had been used intraoperatively in the infusion fluid.

Methods: The medical records were reviewed for the clinical history, ocular findings, and the vitreous and anterior chamber culture results.

Results: Acute, postoperative coagulase-negative Staphylococcus endophthalmitis developed in the patient in whom vancomycin had been used intraoperatively in the infusion fluid.

Conclusions: Restraint is urged in the prophylactic use of vancomycin in the infusion fluids.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Anterior Chamber / microbiology
  • Anti-Bacterial Agents / therapeutic use*
  • Cataract Extraction / adverse effects*
  • Coagulase
  • Drug Resistance, Microbial
  • Endophthalmitis / drug therapy
  • Endophthalmitis / etiology*
  • Eye Infections, Bacterial / drug therapy
  • Eye Infections, Bacterial / etiology*
  • Humans
  • Injections
  • Lenses, Intraocular
  • Male
  • Microbial Sensitivity Tests
  • Postoperative Complications
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / etiology*
  • Staphylococcus / enzymology
  • Staphylococcus / isolation & purification
  • Vancomycin / therapeutic use*
  • Vitrectomy
  • Vitreous Body / microbiology


  • Anti-Bacterial Agents
  • Coagulase
  • Vancomycin