Methicillin-resistant Staphylococcus aureus buckle infection complicated by endophthalmitis and presumed choroidal abscess in a patient with ulcerative colitis | Zendy

Kuan-I Wu | Zendy; Kwan-Rong Liu | Zendy; HsiangWen Chien | Zendy

Open Access

Methicillin-resistant Staphylococcus aureus buckle infection complicated by endophthalmitis and presumed choroidal abscess in a patient with ulcerative colitis

Author(s) -

Kuan-I Wu,

Kwan-Rong Liu,

HsiangWen Chien

Publication year - 2015

Publication title -

taiwan journal of ophthalmology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.519

H-Index - 9

eISSN - 2211-5072

pISSN - 2211-5056

DOI - 10.1016/j.tjo.2015.07.002

Subject(s) - medicine , scleral buckle , endophthalmitis , abscess , staphylococcus aureus , surgery , buckle , visual acuity , vitrectomy , scleral buckling , bacteria , genetics , structural engineering , biology , engineering

This patient presented with excessive pain, lid swelling, erythema, heat and limitations of extraocular movement (OD) nine days after a scleral buckle (SB) and pneumopexy surgery. Complicated buckle infection with endophthalmitis was impressed. Bacterial culture yielded methicillin-resistant Staphylococcus aureus . A choroidal abscess was identified 1 week after the episode. Complete visual recovery from hand motion to 20/30 (OD) was achieved with buckle removal, subconjunctival and intravitreal antibiotics. Endophthalmitis and choroidal abscess formation after SB surgery is extremely rare. Host factors including ulcerative colitis may play a role in causing the severe buckle infection of this patient.

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