기체망막유착술 후 발생한 고르도니 연쇄구균 안내염

• 영문명: Streptococcus Gordonii Endophthalmitis after Pneumaic Retinopexy
• 발행기관: 대한안과학회
• 저자명: 장무환,Moohwan Chang, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number2, 309~311쪽, 전체 3쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.02.15

영문 초록

Purpose: To report a case of streptoococcus gordonii endophthalmitis after pneumaic retinopexy in a patient with rhegmatogenous retinal detachment. Case summary: A 40-year-old man presented with a right eye macula-on retinal detachment extending from 9 to 1 o’clock with one-clock-hour hole at 11 o’clock. After sterilizing with a Betadine solution, 0.6 cc 100% SF6 gas was injected into the vitreous through the pars plana at 11 o’clock. Two days after the injection, eyeball pain, cell and flare, and pupillary membrane developed. Under the diagnosis of endophthalmitis, vitreous tap and intravitreous vancomycin (1.0 mg/0.1 cc) and ceftazime (2.0 mg/0.1 cc) were administered. However the symptoms and signs worsened, so vitrectomy was performed, and intravitrous injections of silicone, vancomycin and ceftazime were administered. Streptococcus gordonii was identified from the excised vitreous. Visual acuity was light perception due to severe retinal necrosis. Conclusions: In cases of endophthalmitis after pneumatic retinopexy even with meticulous sterilization, a prompt operation is necessary to prevent extensive retinal damage and visual loss due to the possibility of pathogen growth other than conjunctival normal flora. J Korean Ophthalmol Soc 2014;55(2):309-311

키워드

Endophthalmitis, Pneumatic retinopexy, Streptococcus gordonii