Descripción clínica mediante tomografía de coherencia óptica de segmento anterior y microscopía especular de un síndrome endotelial iridocorneal tipo Cogan Reese

Endoftalmitis de inicio tardío asociada a ampolla de filtración por Moraxella nonliquefaciens

Resumen Las endoftalmitis asociadas a la ampolla de filtracion tras cirugia filtrante de glaucoma son poco frecuentes, de inicio tardio y la mayoria estan asociadas a una blebitis. Los agentes causales suelen ser estreptococos o bacterias gramnegativas. Existen pocos casos descritos en la literatura de endoftalmitis causada por Moraxella nonliquefaciens y la mayoria estan asociados a una blebitis tras cirugia filtrante de glaucoma. Presentamos el caso de una paciente de 90 anos con endoftalmitis en ojo derecho por Moraxella nonliquefaciens asociada a blebitis 10 anos despues de la cirugia de glaucoma. Tras el tratamiento, se observo la desaparicion de la blebitis 2 semanas despues y resoluc…

Queratitis bacteriana por Moraxella nonliquefaciens

Moraxella keratitis can lead to important complications. Moraxella nonliquefaciens(M. nonliquefaciens) has the worst prognosis. Only three cases of corneal infections due to M. nonliquefaciens have been published. The case is presented of a 79-year-old man with bullous keratopathy, recently affected with severe infectious keratitis. Dense, deep, and central stromal infiltrates and hyphaema were detected. After the identification of M. nonliquefaciens in the culture, and given the progression of the condition, the initial empirical treatment was modified to topical ciprofloxacin and ceftazidime in accordance with the antibiogram, combining oral ciprofloxacin and amoxicillin-clavulanate. Afte…

Delayed-onset bleb-related endophthalmitis caused by Moraxella nonliquefaciens.

Bleb-related endophthalmitis is rare and appears months or years after surgery. The causative agents are usually streptococci or gram-negative bacteria. There are few cases in the literature of endophthalmitis caused by Moraxella nonliquefaciens, and most are delayed-onset associated with blebitis after glaucoma filtration surgery. The case is presented of a 90-year-old patient with endophthalmitis in the right eye due to Moraxella nonliquefaciens associated with blebitis 10 years after glaucoma surgery. After treatment, disappearance of blebitis is observed 2weeks later and resolution of vitritis 29 days later, with recovery of vision to previous values (20/200). Endophthalmitis due to Mor…