A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract Surgery
Acanthamoeba are ubiquitous microorganisms and are considered opportunistic pathogens in humans. Acanthamoeba infection involving the vitreous, retina or choroid is uncommon and is mostly seen following corneal infections or corneal transplant surgeries. (1,2) We present a rare case of post-operativ...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-04-01
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| Series: | Delhi Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.7869/djo.670 |
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| author | Vishal Raval Rushil Saxena Joveeta Joseph Savitri Sharma Raja Narayanan |
| author_facet | Vishal Raval Rushil Saxena Joveeta Joseph Savitri Sharma Raja Narayanan |
| author_sort | Vishal Raval |
| collection | DOAJ |
| description | Acanthamoeba are ubiquitous microorganisms and are considered opportunistic pathogens in humans. Acanthamoeba infection involving the vitreous, retina or choroid is uncommon and is mostly seen following corneal infections or corneal transplant surgeries. (1,2) We present a rare case of post-operative endophthalmitis due to Acanthamoeba in a 30-year old gentleman who underwent cataract surgery in his left eye. The initial routine microscopy and culture reports were negative for bacteria and fungus, and inspite of empirical treatment for endophthamitis, the patient's ocular condition worsened. Following multiple vitrectomy surgery and repeated negative culture as well as polymerase chain reaction (PCR) for bacteria, virus and fungi, PCR for Acanthamoeba species was reported positive. On starting the patient on intravitreal and topical voriconazole along with oral ketoconazole the patient's eye condition improved with moderate recovery of visual acuity. To the best of our knowledge, this is the first case reported of Acanthamoeba endophthalmitis following cataract surgery. |
| format | Article |
| id | doaj-art-816f06cd240744b2aaab30a7f6eb0cec |
| institution | OA Journals |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
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| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-816f06cd240744b2aaab30a7f6eb0cec2025-08-20T02:11:14ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842021-04-0131410310510.7869/djo.670A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract SurgeryVishal RavalRushil SaxenaJoveeta JosephSavitri SharmaRaja NarayananAcanthamoeba are ubiquitous microorganisms and are considered opportunistic pathogens in humans. Acanthamoeba infection involving the vitreous, retina or choroid is uncommon and is mostly seen following corneal infections or corneal transplant surgeries. (1,2) We present a rare case of post-operative endophthalmitis due to Acanthamoeba in a 30-year old gentleman who underwent cataract surgery in his left eye. The initial routine microscopy and culture reports were negative for bacteria and fungus, and inspite of empirical treatment for endophthamitis, the patient's ocular condition worsened. Following multiple vitrectomy surgery and repeated negative culture as well as polymerase chain reaction (PCR) for bacteria, virus and fungi, PCR for Acanthamoeba species was reported positive. On starting the patient on intravitreal and topical voriconazole along with oral ketoconazole the patient's eye condition improved with moderate recovery of visual acuity. To the best of our knowledge, this is the first case reported of Acanthamoeba endophthalmitis following cataract surgery.https://journals.lww.com/10.7869/djo.670acanthamoebapost cataract surgery endophthalmitispars plana vitrectomy |
| spellingShingle | Vishal Raval Rushil Saxena Joveeta Joseph Savitri Sharma Raja Narayanan A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract Surgery Delhi Journal of Ophthalmology acanthamoeba post cataract surgery endophthalmitis pars plana vitrectomy |
| title | A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract Surgery |
| title_full | A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract Surgery |
| title_fullStr | A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract Surgery |
| title_full_unstemmed | A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract Surgery |
| title_short | A Rare Case Of Acanthamoeba Endophthalmitis Following Cataract Surgery |
| title_sort | rare case of acanthamoeba endophthalmitis following cataract surgery |
| topic | acanthamoeba post cataract surgery endophthalmitis pars plana vitrectomy |
| url | https://journals.lww.com/10.7869/djo.670 |
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