PubMed · 8778071
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Y H Kwon, E B Dreyer. 1996. Inflammatory glaucomas.. https://doi.org/10.1097/00004397-199603610-00010
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Endogenous or metastatic bacterial endophthalmitis is a severe, sight-threatening infection of the vitreous humor that is only rarely due to Serratia marcescens. We report the case of a hemodialysis-dependent diabetic patient who had endogenous endophthalmitis of the right eye due to S marcescens, presumably from an infected dialysis catheter. The patient had total visual loss in the affected eye, which required enucleation.
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PURPOSE: To report a case of trabeculectomy-associated endophthalmitis caused by penicillin-resistant Streptococcus pneumoniae. METHOD: Case report. RESULTS: The patient developed endophthalmitis 1 month after an uncomplicated trabeculectomy for primary open-angle glaucoma. Vitreous cultures grew abundant, highly penicillin-resistant S pneumoniae. Despite aggressive treatment with vitrectomy and intravitreal injections of vancomycin hydrochloride and amikacin sulfate, the patient had a poor visual outcome. CONCLUSION: Penicillin-resistant S pneumoniae can cause endophthalmitis after trabeculectomy.