Acta Scientific Ophthalmology (ISSN: 2582-3191)

Research Article Volume 5 Issue 2

Burkholderia Postoperative Endophthalmitis and an Outbreak Including Bilateral Simultaneous Postoperative Endophthalmitis

Mike Yuan Chen1, Susan Ruyu Qi2, Jens Kratholm3 and Steve Arshinoff1,4*

1York Finch Eye Associates, Toronto, Ontario, Canada
2Department of Ophthalmology, Laval University, Quebec City, Canada
3Narvik Eye Clinic, Narvik, Norway
4Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada

*Corresponding Author: Steve Arshinoff, York Finch Eye Associates, Toronto, Ontario, Canada.

Received: December 24, 2021; Published: January 31, 2022

Abstract

Purpose: To describe a single-center series of the first Burkholderia contaminans postoperative endophthalmitis (POE) cases and the first suspected Burkholderia cepacia complex (Bcc) bilateral simultaneous postoperative endophthalmitis (BSPOE) in the context of Burkholderia bacteria and systemic Burkholderia infections.

Setting: The Narvik Eye Clinic, Narvik, Norway.

Design: Retrospective study of all 5 unilaterally and one bilaterally infected patients, the surgical environment, Burkholderia bacteriology and the likely cause of the infections.

Methods: Meticulous review of the case series occurring during unusual winter weather in arctic Norway in January 2019, detailed examination of the surgical clinic, dismantled for this assessment, followed by detailed review of the biology of Bcc species and the infections it can cause.

Results: Six patients developed postoperative Bcc endophthalmitis within 4 months postoperatively, with one case suffering BSPOE. All cases, except one eye of the BSPOE patient, were vitreous-culture positive for B. contaminans. The Bcc strain was genetically identical to the ones later cultured from the surgical center’s ventilation system. All patients recovered visual acuity of 20/25 or better after aggressive treatment.

Conclusions: Bcc-induced postoperative endophthalmitis is rare and can occur if operating room ventilation is tampered with. It is challenging to treat with generally poor outcomes prior to the current series, in which all cases did well.

Keywords: Endophthalmitis; Postoperative Endophthalmitis; Bilateral Endophthalmitis; Bilateral Simultaneous Postoperative Endophthalmitis; Bilateral Postoperative Endophthalmitis; Operating Room Ventilation; Burkholderia; Burkholderia Endophthalmitis

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Citation

Citation: Steve Arshinoff., et al.Burkholderia Postoperative Endophthalmitis and an Outbreak Including Bilateral Simultaneous Postoperative Endophthalmitis".Acta Scientific Ophthalmology 5.2 (2022): 43-52.

Copyright

Copyright: © 2022 Steve Arshinoff., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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