Pseudomonas stutzeri endogenous endophthalmitis and Giant retinal tear management with short term tamponade
DOI:
https://doi.org/10.62856/djcro.v10.71Keywords:
Endogenous, endophthalmitis, giant retinal tear, Pseudomonas stutzeri, short term tamponadeAbstract
We report a rare case of endogenous endophthalmitis caused by Pseudomonas stutzeri in a healthy young male with no systemic illness or identifiable risk factors. The patient presented with acute painful vision loss in the right eye and was diagnosed clinically and microbiologically. Vitreous cultures confirmed P. stutzeri, while blood cultures grew Elizabethkingia meningoseptica. Early pars plana vitrectomy and targeted intravitreal ceftazidime led to infection resolution and visual improvement. However, the patient subsequently developed a giant retinal tear (GRT)-associated retinal detachment. A two-stage vitrectomy using short-term perfluoro-n-octane (PFCL) tamponade followed by silicone oil tamponade successfully restored retinal anatomy and improved final vision to 20/60. This is the first reported case of P. stutzeri endogenous endophthalmitis in an immunocompetent individual. The case underscores the importance of early surgical intervention, tailored antibiotic therapy, vigilant follow-up, and the utility of PFCL in managing complex GRTs, even in unexpected and aggressive ocular infections.
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