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Chronic low-grade postoperative endophthalmitis in a child with Marfan syndrome

Authors Khurram Butt D, Scott RA, Upendran MR

Received 23 July 2017

Accepted for publication 3 October 2017

Published 15 November 2017 Volume 2017:10 Pages 377—379


Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Darakhshanda Khurram Butt,1 Robert A Scott,1,2 Muralidharan R Upendran1

1Moorfields Eye Hospital, Dubai, UAE; 2SpaMedica, Manchester, UK

Abstract: This case report describes a 9-year-old male who presented to the emergency department with 2 days’ history of left painful red eye. On initial examination, his outside medical records indicated that he had bilateral subluxated lenses and had undergone left eye lensectomy with glued intrascleral fixation of an intraocular lens 8 weeks earlier. Vision in left eye was poor from first postoperative day but with no undue pain or redness, and poor vision was attributed to possible vitreous bleed. Subsequent postoperative course was uneventful. He was discharged from ophthalmic care on topical steroids and antibiotic drops, one week postsurgery. The eye was healing well until he developed pain, for which ophthalmic care was sought. He underwent anterior chamber tap with intravitreal injections. Aqueous samples were positive for Staphylococcus aureus DNA by polymerase chain reaction. Post vitrectomy and implant removal, his recovery was good and vision improved to 0.50 LogMar with aphakic correction.

Keywords: glued intrascleral fixation IOL, subluxated lens, post-op endophthalmitis

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