J Korean Ophthalmol Soc.  2004 Apr;45(4):686-690.

A Case of Endophthalmitis Associated with V. Vulnificus Septicemia

• Shim JH
• Chung IY
• Park JM

Abstract

PURPOSE
To report a case of endophthalmitis associated with Vibrio vulnificus septicemia. METHODS: Vibrio vulnificus septicemia patient was referred to us in consultation for abrupt onset left visual loss, severe periorbital swelling and conjunctival injection. RESULTS: Left eye showed suppurative intraocular inflammation. With a clinical impression of V. vulnificus endogeneous endophthalmitis, culture for causative organisms and intravitreal antibiotics injection were done. Two days later, we performed pars plana lensectomy, pars plana vitrectomy, intravitreal antibiotics, SF6 gas injection. Intraocular inflammation was subsided after operation, and the anatomical structure of the eyeball was preserved CONCLUSIONS: Immediate ophthalmologic examination is mandatory for ruling out endophthalmitis when Vibrio species septicemia patient complains of ophthalmic symptoms, such as blurred vision or ocular pain. When clinicians diagnose endophthalmitis, make an effort to identify causative organisms. When bacterial infection is suspected, inject antibiotics intravitreously or vitrectomy must be done as faster as possible.

Keyword

Endophthalmitis; Intravitreal injection; Vibrio vulnificus; Vitrectomy

MeSH Terms

Anti-Bacterial Agents
Bacterial Infections
Endophthalmitis*
Humans
Inflammation
Intravitreal Injections
Sepsis*
Vibrio
Vibrio vulnificus
Vitrectomy
Anti-Bacterial Agents