A Case of Agrobacterium Radiobacter Endophthalmitis following Cataract Surgery

ABSTRACT

PURPOSE: We report a case of Agrobacterium radiobacter endophthalmitis following cataract surgery and treated with pars plana vitrectomy and intravitreal antibiotics injection. METHODS: A 63 year-old male patient was transferred for the endophthalmitis following cataract surgery on his left eye. His initial visual acuity was hand motion. Slit lamp examination showed marked inflammatory cells in anterior chamber and vitreous opacity was seen in fundus examination with indirect ophthalmoscopy. We performed the removal of implanted IOL, pars plana vitrectomy and intravitreal antibiotics injection(Vancomycin 1.0 mg/0.1 ml, Ceftazidime 2.0 mg/0.1 ml). RESULTS: Gram stain results revealed the gram negative rods and bacterial culture identification revealed the Agrobacterium radiobacter using the RapID NF plus system. After 8 weeks, his corrected visual acuity is 0.3 and fundus examination shows the localized atrophic change and preretinal membrane in inferotemporal retina.