Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii

Year 2024, Volume: 6 Issue: 1, 6 - 10, 31.12.2024

Prateek Nishant , Roshan Kumar , Kaushik Sadhukhan , Jayadev Nanda , Sony Sinha

Abstract

Purpose: To report clinical profile, etiology, management, outcomes and drug sensitivity in Acinetobacter baumannii cluster endophthalmitis.

Methods: Four post-surgical cases presented to a tertiary care hospital in eastern India 5 days after manual small incision cataract surgery - two were diabetic with unilateral panophthalmitis and no light perception and two had no systemic diseases, unilateral endophthalmitis with perception of light only. All cases underwent immediate core vitrectomy with intravitreal antibiotics followed by repeat intravitreal antibiotics and anterior chamber wash.

Results: A. baumannii sensitive to amikacin was isolated from vitreous in all cases. One patient achieved vision of 6/60, while one patient retained 1/60 vision with clear media and attached retina at final visit. Two eyes with panophthalmitis ended up with phthisis bulbi.

Conclusion: A. baumannii is a very rare cause of common source endophthalmitis with poor visual and anatomical outcomes. Prevention through rigorous pre-operative preparation cannot be overemphasized

Keywords

Vision loss, Epidemic, Intraocular surgery, Vitrectomy, Infection, edophthalmitis

Ethical Statement

Consent of all patients has been taken for reporting their images and findings

Supporting Institution

All India Institute of Medical Sciences, Patna

Thanks

Department of Microbiology, AIIMS Patna; Dr Amit Raj, Head of the Department of Ophthalmology, AIIMS Patna

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