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Bleb associated endophthalmitis with methicillin-resistant Staphylococcus aureus
  1. Daniel J Pierre1,
  2. Johnny Tang1,2
  1. 1University Hospitals Eye Institute, University Hospitals Case Medical Center, Cleveland, Ohio, USA
  2. 2Research Service, Louis Stokes VAMC, Cleveland, Ohio, USA
  1. Correspondence to Dr Johnny Tang, University Hospitals Eye Institute, 11100 Euclid Ave, Cleveland, OH 44106, USA; bostonretina{at}aol.com

http://dx.doi.org/10.1136/bjo.2009.163774

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    Bleb-associated endophthalmitis (BAE) is a rare postoperative complication with a poor visual prognosis that can occur long after surgery. Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA), an increasingly common and resistant infectant, is first reported here to cause BAE. Conventional medications and methods of treatment are currently adequate.

    Methods/results

    A patient presented with MRSA BAE, which was successfully treated by intravitreal tap and injection, with a course of vancomycin (table 1, figure 1).

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    Table 1

    Patient presentation and treatment course

    Figure 1

    Exterior photography of the affected eye. Day 1 shows conjunctival hyperaemia, an opaque, avascular bleb, corneal oedema and anterior segment inflammation. Comparative follow-up photography demonstrates …

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    Footnotes

    • Funding This study was made possible through funding from the VAMC Career Development Award 2, NIH Core Grant EY11373, Research to Prevent Blindness Foundation and the Ohio Lions Eye Research Foundation.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.