Journal of Cataract & Refractive Surgery
Volume 33, Issue 7 , Pages 1284-1287, July 2007

Postoperative endophthalmitis caused by Bacillus cereus and Chlamydia trachomatis

From the Department of Ophthalmology (Altiparmak, Özer, Aslan, Duman), Ankara Training and Research Hospital, and Department of Microbiology (Özkuyumcu, Us), Hacettepe University, Ankara, Turkey

Accepted 22 March 2007.

Purpose

To describe the clinical manifestations and outcomes in 4 patients with endophthalmitis caused by Bacillus cereus and Chlamydia trachomatis.

Setting

Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey.

Methods

Four patients who had cataract extraction and intraocular lens implantation with phacoemulsification at a secondary eye-care center presented with endophthalmitis. Cultures and direct fluorescein assay (DFA) were performed on vitreous aspirates from all patients.

Results

Cultures were positive for B cereus and DFAs were positive for C trachomatis in all patients. Despite timely intervention, at the end of follow-up, 1 patient had 20/200 visual acuity and another, counting fingers at 3 m. Phthisis bulbi developed in the 2 other patients.

Conclusion

The course of infection with B cereus and C trachomatis poses a potential threat, especially because of the limited data on treatment of endophthalmitis secondary to C trachomatis.

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 No author has a financial or proprietary interest in any material or method mentioned.Presented as a poster at the XXIV Congress of the European Society of Cataract & Refractive Surgeons, London, England, September 2006.

PII: S0886-3350(07)00658-X

doi:10.1016/j.jcrs.2007.03.047

Journal of Cataract & Refractive Surgery
Volume 33, Issue 7 , Pages 1284-1287, July 2007