PURPOSE:
To
report the first case of
endophthalmitis due to
Streptococcus dysgalactiae after
phacoemulsification and posterior chamber
intraocular lens implantation in the
Republic of Korea. CASE
SUMMARY:
A 65-year-old
male was transferred because of
endophthalmitis following
cataract surgery. His initial
visual acuity was
light perception. Because
inflammation of the
anterior chamber and vitreous cavity progressed rapidly, we performed total pars planar
vitrectomy and
intraocular lens extraction in addition to administering intravitreal
antibiotics and intravitreal
dexamethasone injections.
Streptococcus dysgalactiae was identified in samples cultured from the vitreous and
anterior chamber fluid. Four days after
surgery, we washed the
anterior chamber and intravitreal
antibiotics were again injected because of increased
inflammation of the
anterior chamber and vitreous. The
patient was discharged 25 days after
surgery but
corneal neovascularization, contraction,
edema, infiltration, and hypopyon remained.
Visual acuity progressed to no
light perception and there was shrinkage of the globe.
CONCLUSIONS:
Endophthalmitis due to
Streptococcus dysgalactiae is very rare. We
report the first case of
endophthalmitis caused by
Streptococcus dysgalactiae in the
Republic of Korea. The
prognosis for recovery was poor despite aggressive
treatment.