Postoperative mycobacterial endophthalmitis

We treated two sporadic cases of postoperative endophthalmitis caused by rapidly growing (Runyon's group IV) mycobacteria. Both involved intraocular lenses, one a secondary implant after intracapsular cataract extraction (Mycobacterium chelonae subspecies abscessus) and the other a primary post...

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Bibliographic Details
Published inAmerican journal of ophthalmology Vol. 107; no. 4; p. 403
Main Authors Roussel, T J, Stern, W H, Goodman, D F, Whitcher, J P
Format Journal Article
LanguageEnglish
Published United States 15.04.1989
Subjects
Aged
Amikacin - administration & dosage
Amikacin - therapeutic use
Endophthalmitis - pathology
Humans
Injections
Lenses, Intraocular - adverse effects
Male
Mycobacterium
Mycobacterium Infections - pathology
Visual Acuity
Vitreous Body
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Summary:We treated two sporadic cases of postoperative endophthalmitis caused by rapidly growing (Runyon's group IV) mycobacteria. Both involved intraocular lenses, one a secondary implant after intracapsular cataract extraction (Mycobacterium chelonae subspecies abscessus) and the other a primary posterior chamber lens implantation after extracapsular cataract extraction (pigment-producing member group IV). Signs of inflammation were judged severe enough to warrant diagnostic and therapeutic intervention during the fourth postoperative week in both cases. In both eyes the organism seemed to be eradicated by intravitreal amikacin in combination with vitrectomy, as well as topical, subconjunctival, and, in one case, systemic antibiotic therapy.
ISSN:0002-9394
1879-1891
DOI:10.1016/0002-9394(89)90664-8