Successful Treatment of Gram-negative Endophthalmitis With Intravitreous Ceftazidime

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Abstract
We present the first report, to our knowledge, of a case of gram-negative endophthalmitis (Morganella morgagnii) successfully treated by intravitreous injection of ceftazidime after vitrectomy. Report of a Case. —A 76-year-old white hypertensive woman with age-related macular degeneration and Fuchs' dystrophy had undergone a prior triple procedure (penetrating keratoplasty, cataract extraction, and posterior chamber intraocular lens implantation) on her left eye in October 1990; in May 1991, the patient's best-corrected visual acuity was 4/200 OS due to macular degeneration. One week after a YAG capsulotomy in the left eye in January 1992, she underwent repair of a penetrating keratoplasty wound dehiscence. She received topical gentamicin sulfate and erythromycin for 1 week after surgery. Three weeks later she developed pain with decreased vision in her left eye. She returned to The Wilmer Institute, where a diagnosis of endophthalmitis was made. Visual acuity was 20/70 OD and hand motions OS. The left

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