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CASE REPORT
Year : 2016  |  Volume : 6  |  Issue : 2  |  Page : 98-100

Methicillin-resistant Staphylococcus aureus buckle infection complicated by endophthalmitis and presumed choroidal abscess in a patient with ulcerative colitis


1 Department of Ophthalmology, National University Hospital, Taipei, Taiwan
2 Department of Ophthalmology, National University Hospital; Department of Ophthalmology, Cathay General Hospital; Department of Ophthalmology, Adventist Hospital, Taipei, Taiwan
3 Department of Ophthalmology, Cathay General Hospital, Taipei, Taiwan

Correspondence Address:
Hsiang-Wen Chien
Department of Ophthalmology, Cathay General Hospital, 280 Renai Road, Section 4, Taipei, 106
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.tjo.2015.07.002

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This patient presented with excessive pain, lid swelling, erythema, heat and limitations of extraocular movement (OD) nine days after a scleral buckle (SB) and pneumopexy surgery. Complicated buckle infection with endophthalmitis was impressed. Bacterial culture yielded methicillin-resistant Staphylo-coccus aureus. A choroidal abscess was identified 1 week after the episode. Complete visual recovery from hand motion to 20/30 (OD) was achieved with buckle removal, subconjunctival and intravitreal antibiotics. Endophthalmitis and choroidal abscess formation after SB surgery is extremely rare. Host factors including ulcerative colitis may play a role in causing the severe buckle infection of this patient.


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