Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (6): 56-59.doi: 10.6040/j.issn.1673-3770.0.2021.187

• 临床研究 • Previous Articles    

Enterococcus faecalis endophthalmitis after cataract surgery: a case report and literature review

LI Man1,2, WANG Yanling1, ZHAO Lu1   

  1. 1. Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China;
    2. Department of Anesthesiology, China-Japan Friendship Hospital, Beijing 100029, China
  • Published:2022-12-07

Abstract: Objective To analyze the risk factors and clinical characteristics of Enterococcus faecalis endophthalmitis after cataract surgery and provide information for inproring diagnosis and therapy. MethodsThe medical records of a 76yearold patient diagnosed with Enterococcus faecalis endophthalmitis after cataract surgery in our hospital were reviewed.ResultsThe patient underwent a vitrectomy, and the bestcorrected visual acuity of the affected eye recovered to 0.6 (standard logarithmic visual acuity chart) one week later. ConclusionEntercococcal faecalis endophthalmitis is characterized by rapid onset and deterioration. Careful attention should be paid to the clinical condition of the patient during diagnosis and treatment. Accurately estimating the clinical course of the disease and adopting appropriate treatment as soon as possible can improve the prognosis.

CLC Number: 

  • R776.1
[1] Pershing S, Lum F, Hsu S, et al. Endophthalmitis after cataract surgery in the United States: a report from the intelligent research in sight registry, 2013-2017[J]. Ophthalmology, 2020, 127(2): 151-158. doi:10.1016/j.ophtha.2019.08.026.
[2] 中华医学会眼科学分会白内障与人工晶状体学组. 我国白内障术后急性细菌性眼内炎治疗专家共识(2010年)[J]. 中华眼科杂志, 2010, 46(8): 764-766. doi:10.3760/cma.j.issn.0412-4081.2010.08.023.
[3] Haripriya A, Chang DF, Ravindran RD. Endophthalmitis reduction with intracameral moxifloxacin prophylaxis: analysis of 600 000 surgeries[J]. Ophthalmology, 2017, 124(6): 768-775. doi:10.1016/j.ophtha.2017.01.026.
[4] Barry P, Cordoves L, Gardner S. ESCRS guidelines for prevention and treatment of endophthalmitis following cataract surgery: data, dilemmas and conclusions 2013[EB/OL].
[5] Kuriyan AE, Sridhar J, Flynn HW Jr, et al. Endophthalmitis caused by Enterococcus faecalis: clinical features, antibiotic sensitivities, and outcomes[J]. Am J Ophthalmol, 2014, 158(5): 1018-1023. doi:10.1016/j.ajo.2014.07.038.
[6] Lundström M, Wejde G, Stenevi U, et al. Endophthalmitis after cataract surgery: a nationwide prospective study evaluating incidence in relation to incision type and location[J]. Ophthalmology, 2007, 114(5): 866-870. doi:10.1016/j.ophtha.2006.11.025.
[7] Taban M, Behrens A, Newcomb RL, et al. Acute endophthalmitis following cataract surgery: a systematic review of the literature[J]. Arch Ophthalmol, 2005, 123(5): 613-620. doi:10.1001/archopht.123.5.613.
[8] Behrens A, Stark WJ, Pratzer KA, et al. Dynamics of small-incision clear cornea wounds after phacoemulsification surgery using optical coherence tomography in the early postoperative period[J]. J Refract Surg, 2008, 24(1): 46-49. doi:10.3928/1081597X-20080101-07.
[9] Coleman DJ, Trokel S. Direct-recorded intraocular pressure variations in a human subject[J]. Arch Ophthalmol Chic Ill, 1969, 82(5): 637-640. doi:10.1001/archopht.1969.00990020633011.
[10] 房修岭,姜虎林,吴建霞,等. 0.5%聚维酮碘冲洗结膜囊预防白内障术后眼内炎[J]. 山东大学耳鼻喉眼学报, 2014, 28(5):66-67. doi:10.6040/j.issn.1673-3770.0.2014.282. FANG Xiuling, JIANG Hulin, WU Jianxia, et al. Pre-operative irrigation of conjunctival sac using 0.5% povidone-iodine in preventing endophthalmitis after cataract surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2014, 28(5):66-67. doi:10.6040/j.issn.1673-3770.0.2014.282.
[11] Miño De Kaspar H, Ta CN, Froehlich SJ, et al. Prospective study of risk factors for conjunctival bacterial contamination in patients undergoing intraocular surgery[J]. Eur J Ophthalmol, 2009, 19(5): 717-722. doi:10.1177/112067210901900505.
[12] Kugadas A, Gadjeva M. Impact of microbiome on ocular health[J]. Ocul Surf, 2016, 14(3): 342-349. doi:10.1016/j.jtos.2016.04.004.
[13] Hidron AI, Edwards JR, Patel J, et al. NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007[J]. Infect Control Hosp Epidemiol, 2008, 29(11): 996-1011. doi:10.1086/591861.
[14] Dave VP, Pathengay A, Braimah IZ, et al. ENTEROCOCCUS ENDOPHTHALMITIS: clinical settings, antimicrobial susceptibility, and management outcomes[J]. Retina, 2020, 40(5): 898-902. doi:10.1097/IAE.0000000000002462.
[15] Rishi E, Rishi P, Nandi K, et al. Endophthalmitis caused by Enterococcus faecalis: a case series[J]. Retina, 2009, 29(2): 214-217. doi:10.1097/IAE.0b013e31818eccc7.
[16] Moloney TP, Park J. Microbiological isolates and antibiotic sensitivities in culture-proven endophthalmitis: a 15-year review[J]. Br J Ophthalmol, 2014, 98(11): 1492-1497. doi:10.1136/bjophthalmol-2014-305030.
[17] 温凯, 孙靖. 白内障术后急性感染性眼内炎的临床特征[J]. 眼科新进展, 2019,39(1): 79-81. doi:10.13389/j.cnki.rao.2019.0018. WEN Kai, SUN Jing. Clinical features of acute infectious endophthalmitis after cataract surgery[J]. Recent Adv Ophthalmol, 2019, 39(1): 79-81. doi:10.13389/j.cnki.rao.2019.0018.
[18] Park SH, Lim JA, Choi JS, et al. The resistance patterns of normal ocular bacterial flora to 4 fluoroquinolone antibiotics[J]. Cornea, 2009, 28(1): 68-72. doi:10.1097/ICO.0b013e318182259b.
[19] 孟玥, 周典蓉, 史艳萍, 等. 感染性眼内炎致病原因及病原菌分布[J]. 中国感染控制杂志, 2020,19(10): 884-888. doi:10.12138/j.issn.1671-9638.20206086. MENG Yue, ZHOU Dianrong, SHI Yanping, et al. Causes of infective endophthalmitis and distribution of pathogens[J]. Chin J Infect Control, 2020,19(10): 884-888. doi:10.12138/j.issn.1671-9638.20206086.
[20] Kim HW, Kim SY, Chung IY, et al. Emergence of Enterococcus species in the infectious microorganisms cultured from patients with endophthalmitis in South Korea[J]. Infection, 2014, 42(1): 113-118. doi:10.1007/s15010-013-0530-z.
[21] Friling E, Lundström M, Stenevi U, et al. Six-year incidence of endophthalmitis after cataract surgery: Swedish national study[J]. J Cataract Refract Surg, 2013, 39(1): 15-21. doi:10.1016/j.jcrs.2012.10.037.
[22] Liu GS, Li Y, Gao L. Mandated IOL removal for cure of recurrent Enterococcus faecalis endophthalmitis: a case report[J]. Ocul Immunol Inflamm, 2021, 29(7/8): 1544-1546. doi:10.1080/09273948.2020.1762898.
[23] 陈延国,高磊,马路生. 人工晶状体取出治愈超声乳化白内障吸除手术后反复发作粪肠球菌性眼内炎一例[J].中华眼底病杂志,2012, 28(4):420-422. doi:10.3760/cma.j.issn.1005-1015.2012.04.031. CHENG Yanguo, GAO Lei, MA Lusheng. Removal of intraocular lens cures repeated episodes of Enterococcus faecalis endophthalmitis after phacoemulsification and cataract aspiration surgery: a case report[J]. Chin J Ocul Fundus Dis, 2012, 28(4): 420-422. doi:10.3760/cma.j.issn.1005-1015.2012.04.031.
[24] Scott IU, Loo RH, Flynn HW Jr, et al. Endophthalmitis caused by Enterococcus faecalis: antibiotic selection and treatment outcomes[J]. Ophthalmology, 2003, 110(8): 1573-1577. doi:10.1016/S0161-6420(03)00502-5.
[25] 中华医学会眼科学分会白内障与人工晶状体学组. 我国白内障术后急性细菌性眼内炎治疗专家共识(2010年)[J]. 中华眼科杂志, 2010, 46(8): 764-766. doi:10.3760/cma.j.issn.0412-4081.2010.08.023.
[26] DelMonte DW, Kim T. Anatomy and physiology of the cornea[J]. J Cataract Refract Surg, 2011, 37(3): 588-598. doi:10.1016/j.jcrs.2010.12.037.
[27] Fiore T, Torroni G, Iaccheri B, et al. Confocal scanning laser microscopy in patients with postoperative endophthalmitis[J]. Int Ophthalmol, 2019, 39(5): 1071-1079. doi:10.1007/s10792-018-0916-0.
[28] 费菲. 王艳玲: 玻璃体腔注药术后无菌性眼内炎, 临床防治有绝招[J]. 中国医药科学, 2017, 7(12): 1-2.
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[4] YANG Yuhuan, ZHANG Jie, ZHANG Jinpeng, YAN Hong. Effects of mydriasis on anterior chamber parameters measured by a Pentacam before and after cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 5-8.
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[7] DENG Zhifeng. The clinical study on the improved phacoemulsification. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 85-88.
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[15] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(3): 69-70.
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