J Korean Ophthalmol Soc.  2007 Sep;48(9):1291-1296.

A Case of Bilateral Endogenous Enterococcus Faecalis Endophthalmitis in Liver Abscess

• Song JH
• Chung IY
• Park JM

Abstract

PURPOSE: To report a case of bilateral endogenous Enterococcus faecalis endophthalmitis in liver abscess.
METHODS
The patient was transferred for bilateral endophthalmitis because she had decreased bilateral visual acuity for three days. We performed bilateral pars plana vitrectomy, lensectomy, and intravitreal antibiotic injection. We determined the presence of Enterococcus faecalis in vitreous culture and liver abscess using abdomen computerized tomography.
RESULTS
Thirty-four days after the operation, she was discharged with both eyes with flat retina and filled with silicone oil. Her vision was poor.
CONCLUSIONS
Bilateral endogenous Enterococcus faecalis endophthalmitis has rapid progression and a poor visual prognosis.

Keyword

Enterococcus faecalis; Endogenous endophthalmitis; Liver abscess

MeSH Terms

Abdomen
Endophthalmitis*
Enterococcus faecalis*
Enterococcus*
Humans
Liver Abscess*
Liver*
Prognosis
Retina
Silicone Oils
Visual Acuity
Vitrectomy
Silicone Oils

Figure

• 

  Figure 1. Anterior segment photographs at the first visit. (A) Hypopyon and inflammatory membrane are seen in the anterior chamber of the right eye, (B) Hypopyon and inflammatory membrane are seen in anterior chamber of the left eye.

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  Figure 2. The ultrasonographic findings at the first visit. (A) Vitreous opacity and inflammatory membrane are seen in the right eye, (B) Vitreous opacity and inflammatory membrane are seen in the left eye.

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  Figure 3. Anterior segment photographs on the 12th postoperative day. (A) Less inflammatory membranes are seen in the anterior chamber of the right eye, (B) No hypopyon and less inflammatory membranes are seen in the anterior chamber of the left eye.

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  Figure 4. Fundus photographs on the 21st postoperative days. (A) Pale disc with blurred margin, inflammatory membranes, and vascular occlusion are seen in the right eye. (B) Pale disc, inflammatory membranes, and vascular occlusion are seen in the left eye.

Reference

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