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Postoperative endophthalmitis caused by Bacillus cereus and Chlamydia trachomatis.

Altiparmak UE, Ozer PA, Ozkuyumcu C, Us AD, Aslan BS, Duman S

Department of Ophthalmology, Ankara Training and Research Hospital, and Department of Microbiology, Hacettepe University, Ankara, Turkey. ealtiparmak@hotmail.com

PURPOSE: To describe the clinical manifestations and outcomes in 4 patients with endophthalmitis caused by Bacillus cereus and Chlamydia trachomatis. SETTING: Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey. METHODS: Four patients who had cataract extraction and intraocular lens implantation with phacoemulsification at a secondary eye-care center presented with endophthalmitis. Cultures and direct fluorescein assay (DFA) were performed on vitreous aspirates from all patients. RESULTS: Cultures were positive for B cereus and DFAs were positive for C trachomatis in all patients. Despite timely intervention, at the end of follow-up, 1 patient had 20/200 visual acuity and another, counting fingers at 3 m. Phthisis bulbi developed in the 2 other patients. CONCLUSION: The course of infection with B cereus and C trachomatis poses a potential threat, especially because of the limited data on treatment of endophthalmitis secondary to C trachomatis.

Published 25 June 2007 in J Cataract Refract Surg, 33(7): 1284-7.
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