Endogenous endophthalmitis after cardiac angioplasty: a case report
Accept poster if oral is not possible ?
Yes
Purpose
To describe a case of endogenous endophthalmitis complicating a cardiac angioplasty
Methods
A case report
Results
A 63-year-old female presented with sudden bilateral vision loss 3 days after undergoing cardiac angioplasty. The best corrected visual acuity (BCVA) was reduced to counting fingers in the right eye (RE) and 6/20 in the left eye (LE). Slit-lamp examination revealed in both eyes fine keratic precipitates, 3+ cells in the anterior chamber, 1.5 mm hypopyon, posterior synechiae, and 2+ vitreous haze. Fundus examination was hazy in the RE and showed no abnormalities in the LE. Intraocular pressure was 12 mmHg OU. B scan ultrasonography showed dense, hyper-reflective echoes in the vitreous cavity OU. Bacterial endogenous endophthalmitis was suspected and diagnostic vitreous tap was performed. Vitreous cultures were positive for Staphylococcus epidermidis. The patient was treated with systemic antibiotic therapy with three intravitreal injections of vancomycin, ceftazidim and dexamethasone. The evolution was favorable for both eyes
Conclusion
Endogenous endophthalmitis is a rare and sight threatening condition. It can complicate a cardiac angioplasty. Early diagnosis and treatment are essential
Conflict of interest
No
Author 1
Last name
ZINA
Initials of first name(s)
S
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 2
Last name
ROMDHANE
Initials of first name(s)
M
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 3
Last name
ZOUARA
Initials of first name(s)
H
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 4
Last name
DAOUED
Initials of first name(s)
M
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 5
Last name
JELLITI
Initials of first name(s)
B
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 6
Last name
KHAIRALLAH
Initials of first name(s)
M
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
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