Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2003  |  Volume : 51  |  Issue : 4  |  Page : 335--340

Endophthalmitis caused by acinetobacter calcoaceticus.A profile


L Gopal, Anand A Ramaswamy, Hajib N Madhavan, Rajani R Battu, T Sharma, Mahesh P Shanmugam, Pramod S Bhende, M Bhende, D Ratra, Nitin S Shetty, Madhav K Rao 
 Vitreo Retinal Services, Sankara Nethralaya, Chennai, India

Correspondence Address:
L Gopal
Vitreo Retinal Services, Sankara Nethralaya, Chennai
India

Purpose: To report the clinical and microbiological profile of endophthalmitis caused by Acinetobacter calcoaceticus . Methods: A retrospective study of case series of Acinetobacter calcoaceticus endophthalmitis. Outcome measures included ability to sterilise the eye, anatomical result (clear media and attached retina) and visual recovery (visual acuity > 6/60). Results: Of the 20 cases studied, 10 were cases of postoperative endophthalmitis, 3 were posttraumatic, 6 were endogenous and one was bleb-related endophthalmitis. Specific features of interest observed were relative chronicity of presentation and absence of any obvious predisposing factor in endogenous endophthalmitis cases. All cases could be sterilised except one, which needed evisceration. Cases with postoperative endophthalmitis had better anatomical outcome (7/10 with attached retina and clear media) and visual outcome (4/10 regained vision > 6/18). Higher smear positivity was seen in vitreous samples (72.2%) compared to aqueous samples (37.5%). Culture positivity was higher from the vitreous cavity compared to aqueous. The organism was sensitive to ciprofloxacin in a high percentage (88.9%) of cases. Conclusions: Visual recovery in Acinetobacter calcoaceticus endophthalmitis is modest. Ciprofloxacin is the antibiotic of choice


How to cite this article:
Gopal L, Ramaswamy AA, Madhavan HN, Battu RR, Sharma T, Shanmugam MP, Bhende PS, Bhende M, Ratra D, Shetty NS, Rao MK. Endophthalmitis caused by acinetobacter calcoaceticus.A profile.Indian J Ophthalmol 2003;51:335-340


How to cite this URL:
Gopal L, Ramaswamy AA, Madhavan HN, Battu RR, Sharma T, Shanmugam MP, Bhende PS, Bhende M, Ratra D, Shetty NS, Rao MK. Endophthalmitis caused by acinetobacter calcoaceticus.A profile. Indian J Ophthalmol [serial online] 2003 [cited 2024 Mar 29 ];51:335-340
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