Case report
Successful management of post-traumatic vancomycin-resistant enterococcus endophthalmitis

https://doi.org/10.1016/j.ajoc.2016.12.022Get rights and content
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Abstract

Purpose

To highlight good visual outcome with intravitreal amikacin administered 18 days following trauma-inducing vancomycin resistant enterococcal endophthalmitis treated initially with vitrectomy and oral linezolid.

Observations

Despite initial vitrectomy, intravitreal vancomycin, ceftazidime and oral linezolid, smoldering vitreous infiltrates prompted treatment with intravitreal amikacin 18 days later and restored vision to 20/40 in a vancomycin-resistant traumatic endophthalmitis.

Conclusions and importance

Good visual outcome was attained with intravitreal injection of amikacin 18 days following penetrating trauma and vancomycin resistant enterococcal endophthalmitis that smoldered following initial treatment of vitrectomy, intravitreal antibiotics and oral linezolid.

Keywords

Vancomycin resistant enterococcus
Enterococcus casseliflavus
Endophthalmitis
Treatment
Linezolid
Amikacin

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