Department of Ophthalmology, James Cook University Hospital, Middlesbrough, United Kingdom.
Department of Ophthalmology, Zagazig University, Egypt.
Indian J Ophthalmol. 2019 Mar;67(3):424-426. doi: 10.4103/ijo.IJO_720_18.
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.
我们报告了一例独特的眼内炎病例，该病例是由于类固醇眼内植入物治疗伴有囊样黄斑水肿的视网膜分支静脉阻塞而导致金黄色酿脓葡萄球菌感染。在玻璃体切割术和眼内抗生素治疗后，患者的临床症状没有明显改善；因此，我们决定重复进行玻璃体切割术，取出类固醇植入物并用硅油填充眼睛，并重复使用万古霉素进行眼内注射。第二次玻璃体切割术后，患者的视力从手动提高到 1.5 米处能指数计数，3 个月后硅油取出后的最终视力为 6/36。
