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Year : 2007  |  Volume : 55  |  Issue : 6  |  Page : 464-466

An "epidemic" of post cataract surgery endophthalmitis by a new organism

1 Department of Ophthalmology, Christian Medical College, Vellore, India
2 Department of Microbiology, Christian Medical College, Vellore, India

Correspondence Address:
Sanita Korah
Department of Ophthalmology, Christian Medical College, Arni Road, Vellore - 632 001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.36486

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We report a case series of endophthalmitis by an organism hitherto not reported in the eye. Nineteen of 63 cataract patients operated in a high-volume setup were urgently referred to us with acute onset of decreased vision one to two days following cataract surgery. All patients had clinical evidence of acute endophthalmitis with severe anterior chamber exudative reaction. Vitreous tap was done in three representative patients and repeated intravitreal injections were given as per established protocol. The vitreous sample from all three patients grew Enterobacter amnigenus Biogroup II, a gram-negative bacillus which, to the best of our knowledge, has never been reported in the eye. With prompt and accurate microbiological support, it was possible to salvage 17 of these eyes without performing vitrectomy. Six eyes regained 6/200 or better vision.

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