Post-Cataract Surgery Endophthalmitis in a Patient with Type II Diabetes Mellitus: A Case Report

Dedeh Kurniasih, Nur Husnina Desi

Abstract


Endophthalmitis is a severe ocular infection that can lead to significant visual impairment if not promptly managed. We report a case of a 56-year-old female with Type II diabetes mellitus who developed endophthalmitis in the right eye on the 10th day after an uncomplicated cataract surgery. Initially, the patient had good visual recovery (6/6), but she experienced sudden ocular pain and blurred vision with visual acuity declining to 1/300. The diagnosis of endophthalmitis was confirmed, and prompt intravitreal antibiotic therapy was initiated. Following eight days of treatment, her symptoms were resolved, and her vision improved to pre-surgical levels. This case highlights the importance of early recognition and treatment of post-cataract surgery endophthalmitis, especially in diabetic patients who may be at higher risk.


Keywords


Endophthalmitis, Catatarct Surgery, Diabetes Melitus

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References


Sen HN, Albini TA, Burkholder BM, Dahr SS, Dodds EM, Leveque TK, et al. 2022-2023 Basic and Clinical Science Course, Section 9: Uveitis and Ocular Inflammation. 2022.

Emily W. Gower PhD, Lisa J. Keay PhD, Dianne E. Stare MPH, Pallavi Arora MD, Sandra D. Cassard ScD, Ashley Behrens MD JMTP, Oliver D. Schein MD M. Characteristics of Endophthalmitis after Cataract Surgery in the United States Medicare Population. ELSEVIER. 2015;122(8):1625–32.

American Academy of Opthtalmology. Postoperative Endophthalmitis. In: Kim SJ, Amani F, editors. Retina and Vitreous. 2023.

Marlene L. Durand. Endophthalmitis. Clin Microbiol Infect. 2013;19(3):227–134.

Liu Y, Lobo AM, Sobrin L. Endophthalmitis in Immunocompromised and Diabetic Patients. In: Endophthalmitis. 2016.

Pathengay, Avinash FRCS, Flynn HWJ, Isom RF, Miller DDhs. Endophthalmitis outbreaks following cataract surgery: Causative organisms, etiologies, and visual acuity outcomes. JCRS (Journal Cataract Refract Surgery). 2012;7:1278–82.

Kessel L, Flesner P, Andresen J, Erngaard D, Tendal B, Hjortdal J. Antibiotic prevention of postcataract endophthalmitis: A systematic review and meta-analysis. Acta Ophthalmol. 2015;93(4):303–17.

Ji Z, Xie Y, Wang X, Li G, Zhang C. Efficacy and Safety of Intravitreal Injection of Amikacin for Endophthalmitis: a Systematic Review. Acta Pol Pharm - Drug Res. 2023;80(3):343–51.

Barry P, Cordovés L, Susanne G. ESCRS Guidelines for Prevention and Treatment of Endophthalmitis Following Cataract Surgery: Data, Dilemmas and Conclusions 2013. In: Endophthalmitis. 2013.

Haripriya A, Chang DF, Namburar S, Smita A, Ravindran RD. Efficacy of Intracameral Moxifloxacin Endophthalmitis Prophylaxis at Aravind Eye Hospital. Ophthalmology. 2016;123(2):302–8.




DOI: https://doi.org/10.30596/jih.v6i1.22455

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