Table 1 Details of Morganella morganii-related endophthalmitis reported in the past 30 years
From: Postvitrectomy endophthalmitis caused by Morganella morganii: a case report and literature review
Age/Sex | Comorbidity | Eye | Scenario | Clinical presentation | Visual acuity at onset | Intervention | Final visual acuity | |
|---|---|---|---|---|---|---|---|---|
Cunningham et al. (1997) [6] | 68/F | Diabetes mellitus | N/A | 3 days after uncomplicated cataract surgery | Corneal edema, 4 + AC cells, flare and hypopyon | Hand movement | 1. Intravitreal CAZ + VAN and dexamethasone 2. Subconjunctival CAZ + VAN 3. Intravenous CAZ + VAN 4. Topical hyoscine and steroid 5. Vitrectomy for recurrence | 20/80 after first episode, down to counting fingers after recurrence |
Tsanaktsidis et al. (2003) [7] | 84/F | Subclinical urinary tract infection with Escherichia coli and multiresistant Acinetobacter species | OS | 2 days after cataract surgery complicated with posterior capsule tear | Ocular pain, conjunctival injection, corneal edema, 4 + AC cells, flare and hypopyon | Hand movement | 1. Intravenous AMK + VAN → shift to timentin 2. Topical and oral CPFX, with topical corticosteroids | No light perception, evisceration |
Zaninetti et al. (2003) [8] | 65/F | Prior retinal detachment | OD | 3 days after vitrectomy for epiretinal membrane peeling | Conjunctiva hyperemia, corneal edema, hypopyon | Hand movement | 1. Intravenous OFX + IPM 2. Topical CHL + GEN 3. Intravitreal CAZ + VAN and dexamethasone | Hand movement |
Christensen et al. (2004) [9] | 80/F | Nil | OU | Endogenous endophthalmitis 1 week after left total hip alloplasty-related sepsis | Conjunctival injection, corneal edema, AC fibrinous exudate, posterior synechiae | Light perception | 1. Intravenous CXM → shift to CPFX Vitrectomy 2. Intraviteal injection with CAZ + VAN + GEN + AMB (OD); CAZ + VAN + dexamethasone (OS) | No light perception |
Kuang et al. (2008) [10] | 74/M | Pulmonary tuberculosis Gastric ulcer Hyperthyroidism | OS | 1 day after trabeculectomy for uncontrollable IOP after eyeball rupture | Severe pain, purulent bleb, eyelid edema, diffuse whitish exudates in AC, elevated IOP | 3/60 | 1. Topical CAZ, VAN and corticosteroids 2. Intravenous and subconjunctival AMK + CEZ 3. Intravitreal CAZ + VAN 4. Wound debridement | No light perception |
Wang et al. (current case) | 48/M | Chronic hepatitis B Idiopathic intermediate uveitis Prior retinal detachment | OS | 2 days after vitrectomy for recurrent retinal detachment | Periorbital tenderness, hypopyon, retrolental exudative membrane, peripheral retinal vasculitis | Hand movement | 1. Topical LVX 2. Intravitreal CAZ + VAN 3. Vitrectomy with removal of the retrolental biofilm, intravitreal CAZ and triamcinolone | 20/63 |