J Korean Ophthalmol Soc.  2013 Oct;54(10):1605-1609.

A Case of Corneal Perforation and IOL Prolapsed in Serratia Marcescens Endophthalmitis after Cataract Surgery

• Shin YK
• Chang MH
• Kyung SE

Abstract

PURPOSE
To report a case of Serratia marcescens endophthalmitis following phacoemulsification and posterior chamber intraocular lens implantation.
CASE SUMMARY
A 64-year-old male with a history of diabetes, hypertension, cardiovascular disease was referred with right ocular pain and reduced vision 1 day after cataract surgery. On admission, hypopyon on anterior chamber by slit lamp examination and anterior vitreous was hazy according to ultrasonography. We immediately performed intravitreal antibiotics injection and microbiological analysis of anterior chamber and vitreous samples was performed. On day 3, persistent cornea stormal infiltration and cornea perforation were visible and the organism was identified as S. marcescens. Despite appropriate antibiotic treatment the eye continued to deteriorate.
CONCLUSIONS
S. marcescens endophthalmitis was diagnosed and treated immediately, but rapid progression and outcome were unsatisfactory.

Keyword

Endophthalmitis; Serratia marcescens

MeSH Terms

Anterior Chamber
Anti-Bacterial Agents
Cardiovascular Diseases
Cataract*
Cornea
Corneal Perforation*
Endophthalmitis*
Eye
Humans
Hypertension
Lenses, Intraocular
Male
Middle Aged
Phacoemulsification
Serratia marcescens*
Serratia*
Vision, Low
Anti-Bacterial Agents

Figure

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  Figure 1. Photograph at the first visit. (A) Cornea was clear and sutured clear cornea incision was seen at temoral side of the right eye but severe flare and hypopyon in anterior chamber. (B) Ultrasonograph shows heterogenous vitreous opacity.

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  Figure 2. Photograph at 4 days after admission. (A) Cornea was melted and conjunctiva was injection and chemosis of the right eye (B) Ultrasonograph shows dense vitreous opacity.

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  Figure 3. (A) 14 days after admission, cornea was more thinning at temporal side of the right eye. (B) 30 days after admission, whole cornea was melted and globe was shrunken of the right eye.

Reference

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