Escherichia coli endophthalmitis after trans-scleral resection of uveal melanoma.

Abstract:

PURPOSE:To report a case of Escherichia coli endophthalmitis after trans-scleral resection of an uveal melanoma. METHODS:A large ciliary body melanoma was treated by trans-scleral resection and full-thickness sclerectomy because of epibulbar tumor extrusion, followed by adjuvant ruthenium plaque therapy. RESULTS:Two months after treatment the patient developed wound dehiscence and consecutive endophthalmitis. Cultures of the involved sclera yielded Escherichia coil. The infection resolved after systemic intravenous ciprofloxacin and ceftriaxone, with aggressive topical ciprofloxacin and tobramycin. Final visual acuity was light perception. CONCLUSIONS:We assume that the ruthenium plaque placed over the scleral patch was responsible for the delay in scleral healing, with consequent wound dehiscence and E. coli endophthalmitis.

journal_name

Eur J Ophthalmol

authors

Balestrazzi A,Blasi MA,Primitivo S,Balestrazzi E

doi

10.1177/112067210201200517

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

437-9

issue

5

eissn

1120-6721

issn

1724-6016

journal_volume

12

pub_type

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