Korean J Ophthalmol.  2018 Apr;32(2):160-162. 10.3341/kjo.2017.0143.

Recurrent Endophthalmitis Caused by Achromobacter xylosoxidans: Importance of Aggressive Surgical Removal of Capsular Bag

• Park JH
• Lee EK
• Lee SY
• Kim DY
• Kim JY

• KMID: 2408959
• DOI: http://doi.org/10.3341/kjo.2017.0143

Abstract

No abstract available.

MeSH Terms

Achromobacter denitrificans*
Achromobacter*
Endophthalmitis*

Figure

• 

  Fig. 1 (A-J) Photographs of case 1. (A) Edematous cornea and an anterior chamber reaction with hypopyon and a fibrous membrane. (B) Blood agar plate culture showing the gram-negative rod Achromobacter xylosoxidans. (C) Microphotograph of A. xylosoxidans with gram staining (×1,000). (D) Aggravated endophthalmitis, despite pars plana vitrectomy and intravitreal injection. (E) Aphakic and quiet state after intraocular lens explantation and partial lens capsule removal by ocutome. (F) Corneal edema and cellular reactions shown after ciliary sulcus fixation of the intraocular lens. (G) Intraoperative photograph, showing removal of the intraocular lens. (H) Intraoperative photograph showing the remnant lens capsule being removed completely using microforceps. (I) Regressed endophthalmitis after additional vitrectomy, repeated intraocular lens removal and en bloc delivery of the lens capsule. (J) Recovered state after en bloc delivery of the lens capsule and scleral intraocular lens fixation. (K-L) Photographs of case 2. (K) Initial presentation with ciliary hyperemia, anterior chamber reaction, and pupillary fibrotic membrane. (L) Cleared state after repeated intravitreal injections and vitrectomies, including en bloc delivery of the lens capsule. (M) Partial lens capsule removal by ocutome, using a scleral depressor. (N) En bloc delivery of the lens capsule by microforceps. (O,P) Intraoperative en bloc delivery, drawing the lens capsule toward the opposite side. (Q,R) Intraoperative en bloc delivery, holding the other end of the lens capsule, and pulling it toward the opposite side.

Reference

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