
Bacillus endophthalmitis after cataract removal surgery following initial ocular trauma: a case report
Author(s) -
Kamalul Khusus Khairil-Ridzwan,
W Mohd Mohd Alif,
Adil Hussein,
Sivagurunathan Premala-Devi,
Zamri Noordin,
Ismail Shatriah
Publication year - 2021
Publication title -
malaysian journal of ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 2665-9565
pISSN - 2665-9557
DOI - 10.35119/myjo.v3i2.209
Subject(s) - endophthalmitis , medicine , cataract surgery , fulminant , surgery , aqueous humour , ophthalmology , aqueous humor
Infectious endophthalmitis is an ocular infection caused by bacterial or fungal organisms involving intraocular tissues, aqueous, and vitreous humour. Bacillus sp. is an uncommon microorganism causing endophthalmitis. We describe a teenager who presented with a self-sealed corneal laceration, cataractous lens, and evidence of a breach in the anterior capsule. The eye was initially quiet and stable. The event started 1 day after uncomplicated cataract surgery. The patient developed fulminant postoperative endophthalmitis with a fatal final visual outcome. A high index of suspicion is mandatory, and more aggressive treatment may be able to improve the final outcome.