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- Title
Serratia marcescens endophthalmitis after pterygium surgery: a case report.
- Authors
Myeong Yeon Yi; Jin Kwon Chung; Kyung Seek Choi; Yi, Myeong Yeon; Chung, Jin Kwon; Choi, Kyung Seek
- Abstract
<bold>Background: </bold>To report a case of Serratia marcescens endophthalmitis after pterygium surgery using the bare sclera technique with mitomycin C (MMC).<bold>Case Presentation: </bold>A 69-year-old male patient underwent pterygium excision surgery using the bare sclera technique and 0.02% MMC. The patient presented with decreased visual acuity and pain from the day after the operation. Trans pars plana vitrectomy was performed and intravitreal antibiotics were administered. Cultures from the aqueous humor and intraocular lens were all positive for S. marcescens, which was sensitive to an empiric antibiotic regimen. The best corrected distant visual acuity, 1 month after treatment, was a finger count/50 cm, but the retinal layer structure and the vasculature were relatively well preserved.<bold>Conclusions: </bold>This is the first reported case of S. marcescens endophthalmitis after pterygium surgery. Endophthalmitis caused by S. marcescens has a devastating visual prognosis and may show a high clinical risk-benefit ratio for the application of MMC in pterygium surgery.
- Subjects
SERRATIA marcescens; PTERYGIUM; SURGICAL complications; MITOMYCIN C; VITRECTOMY
- Publication
BMC Ophthalmology, 2017, Vol 17, p1
- ISSN
1471-2415
- Publication type
journal article
- DOI
10.1186/s12886-017-0590-4