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CASE REPORT
Year : 2019  |  Volume : 67  |  Issue : 3  |  Page : 424-426

Staphylococcus lugdunensis endophthalmitis following dexamethasone intravitreal implant


1 Department of Ophthalmology, James Cook University Hospital, Middlesbrough, United Kingdom
2 Department of Ophthalmology, Zagazig University, Egypt
3 Department of Microbiology, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania
4 Department of Ophthalmology, James Cook University Hospital, Middlesbrough, United Kingdom; Department of Ophthalmology, Zagazig University, Egypt

Correspondence Address:
Dr. Silvia Olivia Salceanu
Department of Ophthalmology, James Cook University Hospital, 186 Wellington House, Marton Road, Middlesbrough, Cleveland - TS4 3GF
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_720_18

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We present a unique case of endophthalmitis with Staphylococcus lugdunensis following dexamethasone intravitreal implant for branch retinal vein occlusion associated with cystoid macular edema. Patient did not show favorable clinical response after vitrectomy and intravitreal antibiotics; so, we decided to repeat vitrectomy, remove the steroid implant and fill the eye with silicon oil, and repeat intravitreal vancomycin. Vision has improved from hand movements at presentation to counting fingers at 1.5 m after second vitrectomy and final visual acuity 3 months later after silicon oil removal was 6/36.


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