Mycobacterium abscessus endophthalmitis after descemet's stripping with automated endothelial keratoplasty

Victoria Chang, Carol L. Karp, Sonia H. Yoo, Takeshi Ide, Donald L. Budenz, Jaclyn L. Kovach, Leejee H. Suh

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Purpose: To report the first case of endophthalmitis after Descemet's stripping with automated endothelial keratoplasty caused by Mycobacterium abscessus. Methods: Observational case report. Results: An immunocompetent 88-year-old woman presented with endophthalmitis 2 months after a routine Descemet's stripping with automated endothelial keratoplasty resulting in decreased visual acuity and persistent vitreous opacities despite aggressive medical treatment. She underwent eventual pars plana vitrectomy with explantation of the posterior chamber intraocular lens and tube shunt. Operative cultures isolated Mycobacterium abscessus. With continued antibiotic therapy, the endophthalmitis eventually resolved with significant improvement of visual acuity. Conclusions: We report a case of endophthalmitis as a complication of Descemet's stripping with automated endothelial keratoplasty. Although a rare pathogen in endophthalmitis, M. abscessus is difficult to culture and treat. Surgical hypotony combined with contamination of intraoperative materials and/or postsurgical drops are the likely mechanisms of infection.

Original languageEnglish (US)
Pages (from-to)586-589
Number of pages4
JournalCornea
Volume29
Issue number5
DOIs
StatePublished - May 1 2010

Keywords

  • Bacteria
  • Corneal transplant
  • Descemet stripping automated endothelial keratoplasty
  • DSAEK
  • Endophthalmitis
  • Mycobacterium abscessus

ASJC Scopus subject areas

  • Ophthalmology

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