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Thomas A Lazzarini,1 Hasenin Al-khersan,1 Nimesh A Patel,1 Nicolas A Yannuzzi,1 Jaime D Martinez,1 Diego Altamirano,1 Lizt K Torres,2 Darlene Miller,1 Juan F Batlle,1,2 Guillermo Amescua,1 Harry W Flynn Jr1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, 33136, USA; 2Laser Center, Santo Domingo, Dominican RepublicCorrespondence: Thomas A LazzariniDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, 900 NW 17th Street, Miami, FL 33136, USATel +1 305 326-6118Fax +1 305 326-6417Email txl564@miami.eduAbstract: A 79-year-old man presented to a tertiary referral center from the Dominican Republic with an opaque corneal graft and a diagnosis of chronic, recurrent culture-positive Achromobacter xylosoxidans endophthalmitis of the left eye. The patient had a history of penetrating keratoplasty for Fuchs’ dystrophy and had undergone multiple intraocular surgeries including pars plana vitrectomy and anterior chamber wash out for the diagnosis and management of chronic endophthalmitis. After being referred, the patient underwent a third PKP, removal of his intraocular lens (IOL), capsulectomy, and injection of intravitreal antibiotics. All surgical specimens demonstrated the growth of A. xylosoxidans. Five months after surgery, the graft remained clear without evidence of infection and best-corrected visual acuity was 20/350.Keywords: endophthalmitis, Achromobacter xylosoxidans, ophthalmlology, postoperative endophthalmitis, ophthalmic infection |
