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 CASE REPORT
Year : 2012  |  Volume : 30  |  Issue : 3  |  Page : 359-361

Management of post-operative Nocardia endophthalmitis


Department of Ophthalmology, Christian Medical College, Vellore-632001, Tamil Nadu, India

Correspondence Address:
Z S Pradhan
Department of Ophthalmology, Christian Medical College, Vellore-632001, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.99506

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Post-operative Nocardia endophthalmitis has an aggressive course and poor visual prognosis. It often masquerades as severe post-operative uveitis or toxic anterior segment syndrome due to the absence of vitreous involvement resulting in a delay in diagnosis. The poor prognosis in Nocardia endophthalmitis is due to severe intra-ocular inflammation which may lead to phthisis. Therefore, treatment with corticosteroids after appropriate antibiotics have been initiated may improve the outcome. This is an interventional case report highlighting the typical features of Nocardia endophthalmitis, which when diagnosed early and managed medically with antibiotics and steroids, resulted in an excellent visual outcome in our patient.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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