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Nocardial Endophthalmitis

Nocardial Endophthalmitis Abstract We read the article by Zimmerman and colleagues1 titled "Chronic Nocardia asteroides Endophthalmitis After Extracapsular Cataract Extraction" and found it to be interesting. Unlike western countries, in India, nocardial infections of the eye are not rare. In a 2-year period, we reported eight cases of nocardial endophthalmitis following posterior chamber intraocular lens implantation. In all of these cases, infections started within 4 to 18 days after surgery (Figure). All of the eyes responded to topical antibiotic therapy. We used 10% ampicillin sodium, 0.2% trimethoprim sulfate, 30% sulfacetamide sodium, 0.3% norfloxacin, and 0.3% ciprofloxacin hydrochloride, according to the sensitivity of the isolates. In our experience, quinolones were found to be more effective than other drugs. None of the eyes were excised. Globes were restored, with a final visual acuity of light perception or counting fingers. In contrast to the published reports, the posterior chamber was not involved in any of References 1. Zimmerman PL, Mamalis N, Alder JB, Teske MP, Tamura M, Jones GR. Chronic Nocardia asteroides endophthalmitis after extracapsular extraction . Arch Ophthalmol . 1993;111:837-840.Crossref 2. Srinivasan M, Channa P, Gopal Raju CV, George C. Nocardial endophthalmitis following IOL surgery . J Tamil Nadu Ophthal Assoc . 1992;30:29-31. 3. Srinivasan M, Sharma S. Nocardia asteroides as a cause of corneal ulcer . Arch Ophthalmol . 1987;105:464.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Nocardial Endophthalmitis

Archives of Ophthalmology , Volume 112 (7) – Jul 1, 1994

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Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1994.01090190013004
Publisher site
See Article on Publisher Site

Abstract

Abstract We read the article by Zimmerman and colleagues1 titled "Chronic Nocardia asteroides Endophthalmitis After Extracapsular Cataract Extraction" and found it to be interesting. Unlike western countries, in India, nocardial infections of the eye are not rare. In a 2-year period, we reported eight cases of nocardial endophthalmitis following posterior chamber intraocular lens implantation. In all of these cases, infections started within 4 to 18 days after surgery (Figure). All of the eyes responded to topical antibiotic therapy. We used 10% ampicillin sodium, 0.2% trimethoprim sulfate, 30% sulfacetamide sodium, 0.3% norfloxacin, and 0.3% ciprofloxacin hydrochloride, according to the sensitivity of the isolates. In our experience, quinolones were found to be more effective than other drugs. None of the eyes were excised. Globes were restored, with a final visual acuity of light perception or counting fingers. In contrast to the published reports, the posterior chamber was not involved in any of References 1. Zimmerman PL, Mamalis N, Alder JB, Teske MP, Tamura M, Jones GR. Chronic Nocardia asteroides endophthalmitis after extracapsular extraction . Arch Ophthalmol . 1993;111:837-840.Crossref 2. Srinivasan M, Channa P, Gopal Raju CV, George C. Nocardial endophthalmitis following IOL surgery . J Tamil Nadu Ophthal Assoc . 1992;30:29-31. 3. Srinivasan M, Sharma S. Nocardia asteroides as a cause of corneal ulcer . Arch Ophthalmol . 1987;105:464.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1994

References