A case of postoperative endophthalmitis due to methicillin-resistant Staphylococcus epidermidis.

Accession number;00A0196569
Title;A case of postoperative endophthalmitis due to methicillin-resistant Staphylococcus epidermidis.
Author; SUZUKI MASAE (Nagoya Univ., Sch. of Med.) HORIO NAOICHI (Nagoya Univ., Sch. of Med.) IKEMA TSUYOSHI (Inazawa City Hosp.) MIZUKAMI YOKO (Inazawa City Hosp.) TERASAKI HIROKO (Nagoya Univ., Sch. of Med.)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.54;NO.1;PAGE.39-44(2000)
Figure&Table&Reference;FIG.4, TBL.3, REF.23
Pub. Country;Japan
Language;Japanese
Abstract;A 83-year-old male underwent uneventful cataract surgery followed by endophthalmitis five days later. The affected eye developed severe fibrinous inflammation in the anterior chamber and dense vitreous opacity in spite of medication. The patient was referred to us four days after onset. We performed vitrectomy and removed the intraocular lens the same day. Dense epiretinal white mass with hemorrhage was present as intraoperative finding. The endophthalmitis subsided resulting in the final visual acuity of 0.7. Methicillin-resistant Staphylococcus epidermidis (MRSE) was isolated from the removed intraocular lens. Electroretinogram immediately before surgery showed nonrecordable oscillatory potentials with the b-wave/a-wave ratio greater than 1.0. This latter feature appeared to be related to the beneficial postsurgical outcome in spite of severe clinical findings. (author abst.)