Atypical Microbiological Feature of Infectious Endophthalmitis on Jeju Island: A 10-Year Study at a Single Tertiary Referral Center

Figure 1

Representative cases of endophthalmitis caused by Achromobacter xylosoxidans. (a) The corneal edema, anterior chamber cell reaction, hypopyon, and pupillary membrane were found at the first visit. (b) In spite of pars plana vitrectomy and intravitreal injection, the endophthalmitis has aggravated. (c) Intraocular lens was removed and partial lens capsule was removed by the outcome and quiet state persisted. (d) After ciliary sulcus fixation of the intraocular lens, cellular reactions have recurred. (e) The Gram-negative rod Achromobacter xylosoxidans was revealed from blood agar plate culture. (f) Microphotograph of Achromobacter xylosoxidans with gram staining (×1000). (g) Surgical procedure showing removal of the intraocular lens. (h) The remnant lens capsule is being removed completely using microforceps. (i) After additional vitrectomy, repeated intraocular lens removal, and en bloc delivery of the lens capsule, recurrence has stopped thereafter. (j) Another patient showed the anterior chamber reaction and severe pupillary fibrotic membrane from the initial presentation. (k) Completely healed state after repeated intravitreal injections and vitrectomies, including en bloc delivery of the lens capsule.

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