| A Case of Raoultella planticola Endophthalmitis after Cataract Surgery. |
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Jayoung Ahn, Hyoun Do Huh, Mingui Kong, In Young Chung, Jong Moon Park, Yong Seop Han |
1Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. medcabin@hanmail.net
2Department of Ophthalmology, Gyeongsang National University Changwon Hospital, Changwon, Korea.
3Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea. |
| 백내장수술 후 발생한 라울텔라 플란티콜라 안내염 1예 |
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안자영1⋅허현도2⋅공민귀1,3⋅정인영1,3⋅박종문1,2,3⋅한용섭1,3 |
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경상대학교 의과대학 안과학교실1, 창원경상대학교병원 안과2, 경상대학교 건강과학연구원3 |
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| Abstract |
PURPOSE
To report the first case of the Raoultella planticola endophthalmitis after the phacoemulsification and posterior chamber multi-focused intraocular lens (IOL) implantation. CASE SUMMARY: A healthy 49-year-old male visited our clinic with a sudden visual disturbance and ocular pain 2 days after phacoemulsification and multi-focused IOL implantation in his right eye. On initial ophthalmic examination, severe corneal edema and hypopyon were observed. The retina could not be visualized due to vitreous opacity and anterior chamber inflammation. Therefore, the patient immediately underwent pars plana vitrectomy. Vancomycin hydrogen chloride (HCl) 0.3 mg/0.1 mL was injected into the anterior part and vancomycin HCl 1.0 mg/0.1 mL and ceftazidime 2.0 mg/0.1 mL were injected into the intravitreal part. The culture test of aqueous humor and vitreous body fluid revealed Raoultella planticola, thus, systemic antibiotic (ceftazidime) and antibiotic eye drops (vancomycin and ceftazidime) were administered. After 4 months of follow-up, best-corrected visual acuity improved to 20/20 in the affected eye after surgery. CONCLUSIONS: In the present case, we found that endophthalmitis due to Raoultella planticola can be successfully treated. We suggest that atypical bacteria should be considered in the differential diagnosis of endophthalmitis after cataract surgery. |
| Key Words:
Cataract surgery;Endophthalmitis;Raoultella planticola |
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