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백내장수술 후 발생한 스트렙토코커스 디스갈락티아에 의한 안내염 1예

A Case of Streptococcus dysgalactiae Endophthalmitis after Cataract Surgery

대한안과학회지 2018년 59권 2호 p.185 ~ 189
KMID : 0360220180590020185
박준민 ( Park Jun-Min ) - 메리놀병원 안과

염명인 ( Yeom Myeong-In ) - 메리놀병원 안과
박정민 ( Park Jung-Min ) - 메리놀병원 안과

Abstract

Purpose: To report the first case of endophthalmitis due to Streptococcus dysgalactiae after phacoemulsification and posterior chamber intraocular lens implantation in the Republic of Korea.

Case summary: A 65-year-old male was transferred because of endophthalmitis following cataract surgery. His initial visual acuity was light perception. Because inflammation of the anterior chamber and vitreous cavity progressed rapidly, we performed total pars planar vitrectomy and intraocular lens extraction in addition to administering intravitreal antibiotics and intravitreal dexamethasone injections. Streptococcus dysgalactiae was identified in samples cultured from the vitreous and anterior chamber fluid. Four days after surgery, we washed the anterior chamber and intravitreal antibiotics were again injected because of increased inflammation of the anterior chamber and vitreous. The patient was discharged 25 days after surgery but corneal neovascularization, contraction, edema, infiltration, and hypopyon remained. Visual acuity progressed to no light perception and there was shrinkage of the globe.

Conclusions: Endophthalmitis due to Streptococcus dysgalactiae is very rare. We report the first case of endophthalmitis caused by Streptococcus dysgalactiae in the Republic of Korea. The prognosis for recovery was poor despite aggressive treatment
KeyWords

Cataract surgery, Endophthalmitis, Group G streptococcus, Streptococcus dysgalactiae
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학술진흥재단(KCI) KoreaMed 대한의학회 회원