Drug-resistant coagulase-negative staphylococcal endophthalmitis following dexamethasone intravitreal implant.

Abstract:

:A 60-year-old female came to our hospital with defective vision due to persistent diabetic macular edema and was treated with intravitreal ozurdex implant in the right eye. Three days later, the patient presented with diminution of vision, ocular pain, congestion, and hypopyon with no fundus view. B-scan ultrasonography showed vitritis, and diagnosis of endophthalmitis was made. Subsequently, 25-gauge pars plana vitrectomy was performed along with intravitreal vancomycin and amikacin and removal of implant. On culture, there was growth of coagulase-negative staphylococcus which was resistant to ofloxacin antibiotic. A week following treatment, there was significant improvement in the patient's sign and symptoms with improvement in vision. Our case demonstrated that acute endophthalmitis can occur following dexamethasone intravitreal implant.

journal_name

Indian J Ophthalmol

authors

Mahalingam P,Topiwalla TT,Ganesan G

doi

10.4103/ijo.IJO_810_16

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

634-636

issue

7

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2017_65_7_634_211130

journal_volume

65

pub_type

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