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Case Reports
. 2018 Aug;66(8):1200-1202.
doi: 10.4103/ijo.IJO_242_18.

Postoperative endophthalmitis due to Pseudomonas luteola: First reported case of acute and virulent presentation from a tertiary eye care center in South India

Anmol U Naik  1 , V Jaya Prakash  1 , Pradeep Susvar  2 , K Lily Therese  3 , C K Parameswari  3
Affiliations
Case Reports

Postoperative endophthalmitis due to Pseudomonas luteola: First reported case of acute and virulent presentation from a tertiary eye care center in South India

Anmol U Naik et al. Indian J Ophthalmol. 2018 Aug.

Abstract

A 60-year-old male presented with pain and decreased vision 3 weeks following uneventful intracapsular cataract extraction with anterior vitrectomy for subluxated cataract. A diagnosis of acute endophthalmitis was made based on clinical and ultrasound features. Patient improved only after undergoing pars plana vitrectomies twice and repeated intravitreal antibiotic-steroid injections. Vitreous aspirate revealed Gram-negative bacillus identified as Pseudomonas luteola on culture. Patient returned with a retinal detachment at first follow-up which was treated with vitrectomy, endolaser, and silicone oil tamponade. To the best of our knowledge, this is the first case of P. luteola causing acute onset, virulent endophthalmitis reported in literature.

Keywords: Acute endophthalmitis; Pseudomonas luteola; postoperative endophthalmitis; retinal detachment.

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Conflict of interest statement

There are no conflicts of interest

Figures

Figure 1
Figure 1
Serial ultrasound B-scans: (a) at presentation, (b) postoperative day 2 after first vitrectomy, (c) postoperative day 2 after second vitrectomy
Figure 2
Figure 2
Pseudomonas luteola: (a) Gram-stain demonstrating occasional Gram-negative bacilli (b) Yellowish orange colonies on chocolate agar
Figure 3
Figure 3
Third postoperative day after second vitrectomy: (a) Anterior segment and (b) fundus image
Figure 4
Figure 4
Status at first follow-up: (a) Total retinal detachment, (b) postoperative day 3 after re-vitrectomy, endolaser and silicone oil tamponade
See this image and copyright information in PMC

References

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