Abstract
We report two cases of severe endophthalmitis, which were caused by Serratia marcescens, and developed in the immediate postoperative period in two recipients of corneal grafts from the same donor. The cause of the donor's death was massive CVA. He had been on mechanical ventilation for 12 days before he died, and had shown no sign of infectious disease while in the hospital. Vitrectomies were performed in the recipients' eyes on the third day after corneal transplantation. On the same day, and again 1day later, the transplanted eyes were injected intravitreally with vancomycin and ceftazidime. Two months after surgery, both eyes developed phthisis. These cases are similar to other rare reported cases describing the virulence of S. marcescens.
Similar content being viewed by others
References
Cahane M and Avni I (1999) Positive donor cornea rim cultures in eye banking: Risk factors and clinical significance - a review. In: Phillips GO, Nather A, Versen R and Strong M (eds) Advances in Tissue Banking, Vol 3. pp 13–31. World Scientific Publishing Company, Singapore
Cameron JA, Antonios SR, Cotter JB and Habash NR (1991) Endophthalmitis from contaminated donor corneas following penetrating keratoplasty. Arch Ophthalmol 109: 54–59
Cohen SM, Flynn HW and Miller D (1997) Endophthalmitis caused by Serratia marcescens. Ophthalmic Surg Lasers 28: 195–200
Gomes JA, Dana MR, Dua HS, Goren MB, Laibson PR and Cohen EJ (1995) Positive donor rim culture in penetrating keratoplasty. Cornea 14: 457–462
Kloess PM, Stulting RD, Waring GO and Wilson LA (1993) Bacterial and fungal endophthalmitis after penetrating keratoplasty. Am J Ophthalmol 115: 309–316
Seedor JA, Stulting RD, Epstein RJ, Nay RE, Dreizen NG, Waring GO, Wilson LA and Cavanagh HD (1987) Survival of corneal grafts from donors supported by mechanical ventilation. Ophthalmology 94: 101–108
Sugar J and Liff J (1980) Bacterial contamination of corneal donor tissue. Ophthalmic Surg 11: 250–252
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Levartovsky, S., Lazarovich, A. Devastating endophthalmitis caused by Serratia marcescens in two recipients after transplantation of corneal grafts from the same donor. Cell Tissue Banking 3, 45–47 (2002). https://doi.org/10.1023/A:1021839711471
Issue Date:
DOI: https://doi.org/10.1023/A:1021839711471