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Gemella haemolysans acute postoperative endophthalmitis
  1. S V Raman1,
  2. N Evans1,
  3. T J Freegard1,
  4. R Cunningham2
  1. 1Royal Eye Infirmary, Apsley Road, Plymouth, UK
  2. 2Department of Microbiology, Derriford Hospital, Plymouth, UK
  1. Correspondence to: S V Raman, West of England Eye Unit, Royal Devon and Exeter Hospital, Exeter, UK; Vasant317{at}yahoo.com

https://doi.org/10.1136/bjo.87.9.1192-a

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    Endophthalmitis is perhaps the most feared complication of cataract surgery, with a reported incidence between 0.07% and 0.13%.1,2 The most common organisms reported in previous studies are Gram positive staphylococci and streptococci.3,4 We report a case of severe endophthalmitis with an unusual Gram positive organism, after uncomplicated phacoemulsification, with foldable intraocular lens implantation.

    Case report

    A 66 year old white man underwent routine phacoemulsification cataract extraction with posterior chamber lens implantation (Acrylic, Model Hydroview H60M, Bausch & Lomb) to the right eye in January 2002.

    The left eye had previously undergone similar surgery in September 2001. He was generally in good health, and on no medication. There was a past medical history of sarcoidosis treated with oral prednisolone in 1970, which has since been in remission, and an episode of staphylococcal septicaemia in …

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