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J R Soc Med. 1995 August; 88(8): 475P–476P.
PMCID: PMC1295308

Endophthalmitis after routine intra-ocular surgery in an asplenic patient.


A 72-year-old asplenic man developed an acute early pneumococcal endophthalmitis after a routine endocapsular cataract extraction with poor final visual outcome. It is recognized that splenectomy increases the risk and severity of pneumococcal infections. Our patient had not received pneumococcal vaccination or been prescribed prophylactic antibiotics since his splenectomy or at the time of surgery. Failure of these measures to occur may have affected visual outcome.

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Selected References

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  • Neufang KF, Beyer D, Peters PE. Conventional roentgen diagnosis of mediastinal lymphadenopathy. Review article (Part two). Lymphology. 1983 Mar;16(1):1–11. [PubMed]
  • Rosner F, Zarrabi MH. Late infections following splenectomy in Hodgkin's disease. Cancer Invest. 1983;1(1):57–65. [PubMed]
  • Zarrabi MH, Rosner F. Rarity of failure of penicillin prophylaxis to prevent postsplenectomy sepsis. Arch Intern Med. 1986 Jun;146(6):1207–1208. [PubMed]
  • McMullin M, Johnston G. Long term management of patients after splenectomy. BMJ. 1993 Nov 27;307(6916):1372–1373. [PMC free article] [PubMed]
  • Cheesbrough JS, Williams CL, Rustom R, Bucknall RC, Trimble RB. Metastatic pneumococcal endophthalmitis: report of two cases and review of literature. J Infect. 1990 May;20(3):231–236. [PubMed]
  • Kattan HM, Flynn HW, Jr, Pflugfelder SC, Robertson C, Forster RK. Nosocomial endophthalmitis survey. Current incidence of infection after intraocular surgery. Ophthalmology. 1991 Feb;98(2):227–238. [PubMed]
  • Bacon AS, Davison CR, Patel BC, Frazer DG, Ficker LA, Dart JK. Infective endophthalmitis following vitreoretinal surgery. Eye (Lond) 1993;7(Pt 4):529–534. [PubMed]

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