This abstract is assigned to sessions
| Title | 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 |
