Endophthalmitis Postcataract Operation.

Purpose: To present our findings in a case of delayed-onset postoperative endophthalmitis caused by , a rare organism. . A 57-year-old man presented with epiphora and photophobia 17 weeks after a routine cataract extraction with phacoemulsification and intraocular lens implantation. Because endophthalmitis was suspected to be caused by a low-grade pathogen or fungus, an anterior chamber tap was performed. However, both multiplex PCR and culturing were negative. The patient was treated with topical cefmenoxime, oral minocycline, and subconjunctival injection of vancomycin and ceftazidime, but the intraocular inflammation increased. Then, the anterior chamber was tapped again, and the second PCR amplification and direct sequencing which targeted detected , a rare organism.

Conclusion: This is the first reported case of an ocular disorder caused by . We recommend that be considered in cases of delayed-onset postcataract endophthalmitis.. We recommend that be considered in cases of delayed-onset postcataract endophthalmitis.