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PANTOEA AGGLOMERANS ENDOPHTHALMITIS: Clinical Features and Outcomes

Sudhalkar, Aditya MS*; Majji, Ajit B. MD*; Chhablani, Jay MS*; Manderwad, Guruprasad PhD

Retina:
doi: 10.1097/IAE.0000000000000127
Original Study
Abstract

Purpose: To determine the clinical profile and outcomes of patients with Pantoea agglomerans endophthalmitis as seen at a tertiary eye care center in India.

Methods: Retrospective observational case series. Data collected included demographics, history, the initial and final corrected distance visual acuity, details of the ocular and systemic examination, surgeries performed, and the final anatomical outcome. The final corrected distance visual acuity and the anatomical outcome were the outcome measures.

Results: Four patients had traumatic endophthalmitis; the fifth developed endophthalmitis after cataract surgery. All patients were men with a mean age of 34.24 ± 23.34 years. Three patients had corneal laceration and traumatic cataract. All patients underwent vitreous sampling with intraocular antibiotic injection with or without lensectomy and corneal wound repair. The visual acuity at presentation ranged from hand motion to perception of light. One patient ended up with phthisis in the affected eye. One patient developed postoperative retinal detachment and underwent successful surgery. The final visual acuity ranged from 20/25 to no light perception.

Conclusion: P. agglomerans is a likely source of infection in traumatic and postoperative cases. Though variable, it appears sensitive to common antibiotics. The visual and anatomical prognosis seems fair in most cases. Special care needs to be taken to ensure the organism is not missed, given the rarity of the condition and the isolation techniques required.

In Brief

This article describes the etiology, clinical features, and final anatomical and visual outcomes in Pantoea agglomerans endophthalmitis, a rare organism to be isolated from vitreous samples. The etiology is mainly traumatic, although it can occur postoperatively. The visual and anatomical prognosis seems fair.

Author Information

*Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, KAR Campus, Hyderabad, India; and

Jhaveri Microbiology Centre, KAR Campus, Hyderabad, India.

Reprint requests: Jay Chhablani, MS, Smt. Kanuri Santhamma Centre for Vitreoretinal Diseases, LV Prasad Eye Institute, Banjara Hills Road no. 2, Hyderabad, -500034, Andhra Pradesh, India; e-mail: jay.chhablani@gmail.com

Paper presented as a poster at AAO, Chicago, IL, November 13, 2012.

None of the authors have any financial/conflicting interests to disclose.

© 2014 by Ophthalmic Communications Society, Inc.