ABSTRACT

Purpose: The authors present a case of a 60-year-old Indian female presented with sudden loss of vision in the right eye three days after an uneventful cataract surgery which revealed a rare organism and which was treated successfully. Methods: She was diagnosed with acute postoperative endophthalmitis with fulminant disease and on further work up, culture showed Morganella morganii (gram negative bacilli). Results: She was successfully treated with intravitreal imipenem, dexamethasone and vitrectomy. A review of literature was conducted to identify and discuss additional reports on similar cases. As per PubMed search with keywords “Morganella morganii endophthalmitis” this is the best achieved visual outcome to date in a case of acute post-operative Morganella morganii endophthalmitis. Conclusion: Intravitreal imipenem can be considered to treat Morganella morganii endophthalmitis. Aggressive treatment in these patients can help in improving visual outcome.

摘要

目的：作者介绍了一名 60 岁印度女性的病例，她在顺利进行白内障手术三天后右眼突然失明，该手术发现了一种罕见的生物体，并得到了成功治疗。方法：她被诊断为急性术后眼内炎并伴有暴发性疾病，经进一步检查，培养结果显示摩氏摩根氏菌（革兰氏阴性杆菌）。结果：她成功地接受了玻璃体腔注射亚胺培南、地塞米松和玻璃体切除术治疗。对文献进行了审查，以确定和讨论关于类似案例的其他报告。根据 PubMed 搜索关键词“Morganella morganii 眼内炎”，这是迄今为止在急性术后 Morganella morganii 眼内炎病例中取得的最佳视觉结果。结论：玻璃体内注射亚胺培南可考虑用于治疗摩氏摩根氏菌眼内炎。这些患者的积极治疗有助于改善视力结果。