CHRONIC ACTINOMYCES NEUII ENDOPHTHALMITIS POSTCATARACT SURGERY TREATED WITH INTRAVENOUS AND INTRAMUSCULAR ANTIBIOTICS AND INTRAOCULAR LENS EXPLANTATION: CASE REPORT AND REVIEW OF THE LITERATURE.
Carol Tadrous, Nadine Cheffi, Rishi B Gupta et al.
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Case in brief
A 77-year-old man developed chronic endophthalmitis due to Actinomyces neuii following cataract surgery, presenting with recurrent anterior uveitis and cystoid macular edema. Despite multiple intravitreal antibiotics and vitrectomies, inflammation persisted. Treatment with intravenous and intramuscular penicillin, along with intraocular lens explantation, led to sustained resolution of inflammation, although visual acuity remained limited due to secondary complications.
Diagnostic / clinical pearl
This case underscores the necessity of systemic antibiotic therapy and interdisciplinary collaboration in managing chronic postoperative endophthalmitis caused by atypical pathogens.