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Indian J Ophthalmol. 2019 Mar;67(3):424-426. doi: 10.4103/ijo.IJO_720_18.

Staphylococcus lugdunensis endophthalmitis following dexamethasone intravitreal implant.

Author information

1
Department of Ophthalmology, James Cook University Hospital, Middlesbrough, United Kingdom.
2
Department of Ophthalmology, Zagazig University, Egypt.
3
Department of Microbiology, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
4
Department of Ophthalmology, James Cook University Hospital, Middlesbrough, United Kingdom; Department of Ophthalmology, Zagazig University, Egypt.

Abstract

We present a unique case of endophthalmitis with Staphylococcus lugdunensis following dexamethasone intravitreal implant for branch retinal vein occlusion associated with cystoid macular edema. Patient did not show favorable clinical response after vitrectomy and intravitreal antibiotics; so, we decided to repeat vitrectomy, remove the steroid implant and fill the eye with silicon oil, and repeat intravitreal vancomycin. Vision has improved from hand movements at presentation to counting fingers at 1.5 m after second vitrectomy and final visual acuity 3 months later after silicon oil removal was 6/36.

KEYWORDS:

Dexamethasone implant; Staphylococcus lugdunensis; endophthalmitis; silicon oil

PMID:
30777977
DOI:
10.4103/ijo.IJO_720_18
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