Abstract

GARCIA SERRANO, JL; DOMINGUEZ, I  and  SERRANO LABORDA, D. Recurrence of bacterial endophthalmitis after penetrating keratoplasty. Arch Soc Esp Oftalmol [online]. 2004, vol.79, n.2, pp.89-92. ISSN 0365-6691.

Objective/Methods: One month after penetrating keratoplasty, a male patient suffered recurrent abscess and endophthalmitis caused by mixed bacteria (Staphylococcus aureus and Candida Albicans). Results: Two samples of vitreous and aqueous were taken, and a combination of systemic Vancomycin and Amphotericin B were injected intravitreally. The patient was asymptomatic for a month, but the abscess reactivated and was treated with Vancomycin and Ciprofloxacin administered intravenously. Fifteen days after withdrawing the treatment endophthalmitis returned and was treated with vitrectomy and additional systemic/intravitreal antibiotics and antifungal therapy. The final visual acuity was 20/40. Conclusions: The delayed vitrectomy proved to be necessary to remove established germs and to eliminate recurrent infections.

Keywords : Endophthalmitis; abscess; keratoplasty; infection; treatment.