Staphylococcus lugdunensis endophthalmitis following dexamethasone intravitreal implant

We present a unique case of endophthalmitis with Staphylococcus lugdunensis following dexamethasone intravitreal implant for branch retinal vein occlusion associated with cystoid macular edema. Patient did not show favorable clinical response after vitrectomy and intravitreal antibiotics; so, we dec...

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Detalles Bibliográficos
Autores principales: Salceanu, Silvia Olivia, Hamada, Dina, Ursu, Ramona Gabriela, Saad, Ahmed Abdelwahab
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407396/
https://www.ncbi.nlm.nih.gov/pubmed/30777977
http://dx.doi.org/10.4103/ijo.IJO_720_18
Descripción
Sumario:We present a unique case of endophthalmitis with Staphylococcus lugdunensis following dexamethasone intravitreal implant for branch retinal vein occlusion associated with cystoid macular edema. Patient did not show favorable clinical response after vitrectomy and intravitreal antibiotics; so, we decided to repeat vitrectomy, remove the steroid implant and fill the eye with silicon oil, and repeat intravitreal vancomycin. Vision has improved from hand movements at presentation to counting fingers at 1.5 m after second vitrectomy and final visual acuity 3 months later after silicon oil removal was 6/36.

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