Volume.118 Number.1

Original article : Clinical science

Postcataract Endophthalmitis Caused by Enterococcus Faecalis
Takashi Suzuki1, Daisuke Todokoro2, Shinichiro Kobayakawa3, Chie Sotozono4, Shuichiro Eguchi5, Kazunori Miyata6, Hiroko Bissen Miyajima7, Yasuyoshi Ike8, Yuichi Ohashi8; Enterococci Endophthalmitis Working Group
1 Department of Ophthalmology, Ehime University School of Medicine
2 Department of Ophthalmology, Gunma University School of Medicine
3 Department of Ophthalmology, Toho University School of Medicine
4 Department of Ophthalmology, Kyoto Prefectural University of Medicine
5 Eguchi Eye Hospital
6 Miyata Eye Hospital
7 Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital
8 Department of Bacteriology, Gunma University Graduate School of Medicine

Purpose: Enterococcus faecalis is a major endophthalmitis-causing pathogen and often causes significant visual impairment. We investigated the clinical background, treatment and the visual outcome of patients with E. faecalis endophthalmitis after cataract surgery.
Methods: We retrospectively conducted a postal survey directed mainly at the members of Japanese Society of Cataract and Refractive Surgery, and collected data on 30 eyes of 30 patients with E. faecalis endophthalmitis.
Results: The mean age of the patients was 73.5 years, and 10 cases had diabetes mellitus. The average time between cataract surgery and diagnosis of endophthalmitis was 4.8 days, and in 16 cases the disease developed 2 days after surgery. Final visual acuity was better than 40/200 in 13 eyes and 20/200 to no light perception in 15 eyes.
Conclusions: E. faecalis caused acute-onset endophthalmitis. The visual outcome of the patients can be divided into good and poor groups.
Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 118: 22-27, 2014.

Key words
Enterococci, Postcataract endophthalmitis, Diabetes mellitus, High-aged patient, Gastrointestinal disease
Reprint requests to
Takashi Suzuki, M.D. Department of Ophthalmology, Ehime University School of Medicine. Shitsukawa, Toon-shi, Ehime-ken 791-0295, Japan