Streptococcus Gordonii Endophthalmitis after Pneumaic Retinopexy.

Chang, Moohwan

doi:2014.55.2.309

J Korean Ophthalmol Soc > Volume 55(2); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(2):309-311.
DOI: https://doi.org/10.3341/jkos.2014.55.2.309 Published online February 15, 2014.

Streptococcus Gordonii Endophthalmitis after Pneumaic Retinopexy.

Moohwan Chang

Department of Ophthalmology, Dankook University Hospital, Dankook University Medical College, Cheonan, Korea. changmh@dankook.ac.kr

기체망막유착술 후 발생한 고르도니 연쇄구균 안내염

장 무 환

Department of Ophthalmology, Dankook University Hospital, Dankook University Medical College, Cheonan, Korea

Abstract

PURPOSE
To report a case of streptoococcus gordonii endophthalmitis after pneumaic retinopexy in a patient with rhegmatogenous retinal detachment. CASE SUMMARY: A 40-year-old man presented with a right eye macula-on retinal detachment extending from 9 to 1 o'clock with one-clock-hour hole at 11 o'clock. After sterilizing with a Betadine solution, 0.6 cc 100% SF6 gas was injected into the vitreous through the pars plana at 11 o'clock. Two days after the injection, eyeball pain, cell and flare, and pupillary membrane developed. Under the diagnosis of endophthalmitis, vitreous tap and intravitreous vancomycin (1.0 mg/0.1 cc) and ceftazime (2.0 mg/0.1 cc) were administered. However the symptoms and signs worsened, so vitrectomy was performed, and intravitrous injections of silicone, vancomycin and ceftazime were administered. Streptococcus gordonii was identified from the excised vitreous. Visual acuity was light perception due to severe retinal necrosis. CONCLUSIONS: In cases of endophthalmitis after pneumatic retinopexy even with meticulous sterilization, a prompt operation is necessary to prevent extensive retinal damage and visual loss due to the possibility of pathogen growth other than conjunctival normal flora.

Key Words: Endophthalmitis;Pneumatic retinopexy;Streptococcus gordonii