Stenotrophomonas maltophilia induzierte Endophthalmitis

Stenotrophomonas maltophilia, a micro-organism which colonises
plastic material was isolated in only 10 known cases of
postcataract surgery endophthalmitis (PE) world-wide. We present
characteristics, treatment and outcome in 26 cases of PE caused by
S. maltophilia contaminated rinsing solution used during cataract
surgery. Methods: 21/26 patients (81%) required pars plana
vitrectomy and were treated with intravitreal, topical,
subconjunctival and systemic antibiotics covering to the most
likely pathogens. 2 days after surgery identification of S.
maltophilia allowed change of therapy to
trimethoprim/sulfamethoxazol (TMP-SMX) 960mg bid i.v. and
Ciprofloxacin 400mg -750mg bid p.o. for 10 days and TMP-SMX 960mg
bid p.o. and Ciprofloxacin 250mg or 500mg bid p.o. for further 20
days, complemented with i.v. Fluorcortolone and topical treatment.
Vision was examined before and during, 1 and 6 months after acute
PE. Results: Before cataract surgery visual acuity was