Rhegmatogenous retinal detachment following focal retinal necrosis in endogenous endophthalmitis due to methicillin-resistant Staphylococcus aureus septicemia.

Q3 Medicine
Oman Journal of Ophthalmology Pub Date : 2026-02-27 eCollection Date: 2026-01-01 DOI:10.4103/ojo.ojo_395_24
Shreyas Temkar, Hemanth Ramachandar, Jagadeeswari Jayaseelan, Amit Kumar Deb
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引用次数: 0

Abstract

Endogenous endophthalmitis leading to rhegmatogenous retinal detachment is one of the vision-threatening, devastating sequelae. Risk factors usually include a systemic focus of infection and conditions causing immunosuppression (diabetes, prostheses, and intravenous drug use). The most commonly implicated pathogens are Gram-positive coagulase-negative ones, especially Staphylococcus epidermidis. Cases of methicillin-resistant Staphylococcus aureus (MRSA) septicemia causing endogenous endophthalmitis have been reported with poor visual outcomes even with aggressive treatment. We hereby report a case of MRSA septicemia presenting with focal chorioretinal necrosis progressing to rhegmatogenous retinal detachment in a young postpartum female patient, which was successfully managed with vitrectomy.

耐甲氧西林金黄色葡萄球菌败血症引起内源性眼内炎局灶性视网膜坏死后的孔源性视网膜脱离。
内源性眼内炎导致的孔源性视网膜脱离是危害视力的破坏性后遗症之一。危险因素通常包括全身性感染和引起免疫抑制的情况(糖尿病、假体和静脉吸毒)。最常见的病原体是革兰氏阳性凝固酶阴性病原体,尤其是表皮葡萄球菌。耐甲氧西林金黄色葡萄球菌(MRSA)败血症引起内源性眼内炎的病例有报道,即使积极治疗,视力也不佳。我们在此报告一例MRSA败血症,表现为局灶性脉络膜视网膜坏死进展为孔源性视网膜脱离,在一个年轻的产后女性患者,这是成功地管理与玻璃体切除术。
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来源期刊
Oman Journal of Ophthalmology
Oman Journal of Ophthalmology Medicine-Ophthalmology
CiteScore
0.50
自引率
0.00%
发文量
68
审稿时长
50 weeks
期刊介绍: To provide a platform for scientific expression of the Oman Ophthalmic Society and the international Ophthalmic community and to provide opportunities for free exchange of ideas and information. To serve as a valuable resource for ophthalmologists, eye-care providers including optometrists, orthoptists, other health care professionals and research workers in all aspects of the field of visual science.
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