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Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery

Authors Won JY, Kim M

Received 15 April 2013

Accepted for publication 21 May 2013

Published 17 June 2013 Volume 2013:7 Pages 1193—1195

DOI https://doi.org/10.2147/OPTH.S46792

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Jun Yeon Won,1 Moosang Kim2

1Department of Otolaryngology, School of Medicine, Kangwon National University, Chuncheon, Korea; 2Department of Ophthalmology, School of Medicine, Kangwon National University, Chuncheon, Korea

Abstract: We report a case of acute postoperative endophthalmitis caused by vancomycin-resistant Staphylococcus hominis, treated at our hospital. An 80-year-old male presented 2 days after uncomplicated phacoemulsification and posterior chamber intraocular lens implantation, with a 24-hour history of progressive visual loss and redness in the operated (right) eye. On examination, best corrected visual acuity was counting fingers. Anterior segment examination revealed conjunctival injection, chemosis, corneal edema, and hypopyon. B-scan ultrasonography showed vitreous opacification, but no retinal detachment. Acute postoperative endophthalmitis was diagnosed. We performed vitrectomy with vancomycin in the irrigating solution, intraocular lens removal, and silicone oil tamponade. Culture of the vitreous grew Staphylococcus hominis. Antibiotic susceptibility testing showed the isolate was sensitive to trimethoprim/sulfamethoxazole and teicoplanin but resistant to ciprofloxacin, moxifloxacin, levofloxacin, cefazolin, and vancomycin. At 3 months, the visual acuity of the silicone oil-treated eye was 20/400.

Keywords: endophthalmitis, Staphylococcus hominis, vancomycin

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