Abstract
Purpose: To investigate the management strategies, susceptibility patterns, and visual outcomes of postcataract Enterococcus faecalis endophthalmitis. Methods: Retrospective chart review study of 26 eyes of 26 patients with culture-proven E. faecalis endophthalmitis. Results: In initial treatments, pars plana vitrectomy with intravitreal antibiotics in 15 eyes (58%). Resistance patterns among the isolates were the following: vancomycin in 0 of 26 eyes (0%), ampicillin in 0 of 26 eyes (0%), teicoplanin in 0 of 18 eyes (0%), and high-level gentamicin (minimum inhibitory concentration >500mg/L) in 8 of 12 eyes (67%). Presenting visual acuity ranged from counting fingers to no light perception. Final visual acuity was better than 5/200 in 4 of 26 eyes (15%), 5/200 to hand motions in 4 of 26 eyes (15%), and light perception to no light perception in 18 of 26 eyes (69%). Conclusions: Although all E. faecalis isolates were susceptible to vancomycin, endophthalmitis caused by E. faecalis was usually associated with poor visual prognosis.
| Original language | English |
|---|---|
| Pages (from-to) | 364-369 |
| Number of pages | 6 |
| Journal | Ocular Immunology and Inflammation |
| Volume | 17 |
| Issue number | 5 |
| DOIs | |
| State | Published - 10 2009 |
Keywords
- Enterococcus faecalis
- Intravitreal antibiotics
- Pars plana vitrectomy
- Postcataract endophthalmitis