Two Cases of Enterococcus Fecalis Endophthalmitis.

Kim, Ung Soo; Yu, Seung Young; Kwak, Hyung Woo

Case Report

Journal of the Korean Ophthalmological Society 2003;44(2):523-528.
Published online February 1, 2003.

Two Cases of Enterococcus Fecalis Endophthalmitis.

Ung Soo Kim, Seung Young Yu, Hyung Woo Kwak

Department of Ophthalmology, Kyung Hee University Hospital, Korea. hwkwak@khmc.or.kr

Enterococcus Fecalis에 의한 안내염 2예

김응수 ( Ung Soo Kim ) , 유승영 ( Seung Young Yu ) , 곽형우 ( Hyung Woo Kwak )

Abstract

PURPOSE
We exprienced two cases of Endophthalmitis caused by Enterococcus fecalis in phacoemulsification and foldable IOL(intraocular lens) implantation. The endophthalmitis caused by Enterococcus fecalis is very rare disease. In Korea, no case has been reported. METHODS: The patient invited the hospital at each 1, 7 days after phacoemulsification and IOL implantation. We have done anterior chamber paracentesis. Enterococcus fecalis was founded in culture. We have done systemic IV antibiotics, fortified topical antibiotics, intravitreal antibiotics injection and pars plana vitrectomy at each 3, 7 day after symptom was appeared. RESULTS: The final visual acuity of one patient was 0.15, but the final visual acuity of the other patient was hand motion in 30cm. CONCLUSIONS: Visual prognosis of Enterococcus fecalis endophthalmitis is not good. Early vitrectomy is good in visual outcome than retard operation.

Key Words: Enterococcus fecalis;Endophthalmitis;Vitrectomy