An Outbreak of Endophthalmitis Caused by Achromobacter Xylosoxidans After Cataract Surgery: Clinical Features and Surgical Suggestion


SCIENTIFIC POSTER

An Outbreak of Endophthalmitis Caused by Achromobacter Xylosoxidans After Cataract Surgery- Clinical Features and Surgical Suggestion by Jong Young Lee, Eun Kyoung Lee, Dong Yoon Kim, Jin Young Kim, South Korea


ABSTRACT

Achromobacter xylosoxidans is an anaerobic, nonfermentative, gram-negative rod. This organism is known to inhabit humid environments including well water, intravenous fluids, and water humidifiers. It has rarely been associated with keratitis and endophthalmitis but, reports on this organism are increasing, the importance as a causative organism has been increased. We report three cases of endophthalmitis all caused by Achromobacter xylosoxidans after cataract surgery in the same hospital. Three patients were referred to our clinic complaining of decreased visual acuity and pain of the eye that had underwent cataract surgery. Pars plana vitrectomy with intravitreal vancomycin 1mg, ceftazidime 2.25mg were underwent. However, in all patients, the infected eyes had repeated the improvement and worsening, and repeated vitrectomy with complete lens capsule and intraocular lens removal were removed. Finally, they have shown full recovery without recurrence after that time. Endophthalmitis induced by Achromobacter xylosoxidans often shows chronic course, and usually recurs as long as the remnant lens capsule and intraocular lens are present. Therefore, complete lens capsule and intraocular lens removal along with intravitreal injection and pars plana vitrectomy are considered to be indispensable for complete remission of post-cataract endophthalmitis caused by Achromobacter xylosoxidans.


CONTACT DETAILS

Jin Young Kim
Jeju, South Korea
Email : muse1016@naver.com
Cell Phone: +821032443100
Work Phone: +82647171730

 

Jong Young Lee
Jeju, South Korea
Email : honestcy@naver.com
Cell Phone: +821086416571
Work Phone: +82647171730