Pseudomonas aeruginosa endophthalmitis masquerading as chronic uveitis.
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Date
2013-06
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Abstract
A 65-year-old male presented with decreased vision in the left eye of 15-day duration after having undergone an uneventful cataract surgery 10 months back. He had been previously treated with systemic steroids for recurrent uveitis postoperatively on three occasions in the same eye. B-scan ultrasonography showed multiple clumplike echoes suggestive of vitreous inflammation. Aqueous tap revealed Pseudomonas aeruginosa sensitive to ciprofloxacin. The patient was treated with intravitreal ciprofloxacin and vancomycin along with systemic ciprofloxacin with good clinical response. Even a virulent organism such as P.aeruginosa can present as a chronic uveitis, which, if missed, can lead to a delay in accurate diagnosis and appropriate management.
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Keywords
Chronic uveitis, intravitreal ciprofloxacin, postoperative endophthalmitis, Pseudomonas aeruginosa
Citation
Nagaraj Kalpana Badami, Jayadev Chaitra. Pseudomonas aeruginosa endophthalmitis masquerading as chronic uveitis. Indian Journal of Ophthalmology. 2013 Jun; 61(6): 309-310.