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

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Date
2018-08
Journal Title
Journal ISSN
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Publisher
All India Ophthalmological Society
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.
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Keywords
Acute endophthalmitis, postoperative endophthalmitis, Pseudomonas luteola, retinal detachment
Citation
Naik AU, Prakash VJ, Susvar P, Therese KL, Parameswari CK. Postoperative endophthalmitis due to Pseudomonas luteola: First reported case of acute and virulent presentation from a tertiary eye care center in South India. Indian Journal of Ophthalmology. 2018 Aug; 66(8): 1200-1202