Chronic Post-operative Endophthalmitis caused by Acinetobacter Baumannii: A Case Presentation

The left eye (LE) had perception of light with an inaccurate projection of rays in all quadrants. On slit lamp examination, the cornea showed oedema, Descemet's membrane folds, peripheral vascularisation and a blood-stained endothelium. The intraocular pressure (IOP), keratometry and axial length were 12 mmHg, 41.5 x 45.75 and 22.25 mm respectively. The ultrasound B scan showed a well-defined vitreous opacity with moderate to high echoes in the posterior segment pointing towards vitritis with IOL and cortical lens matter drop. There was choroidal detachment (CD) in one quadrant. The anterior segment specimen grew colonies of A. baumannii sensitive to co-trimoxazole, minocycline, and levofloxacin. Oral levofloxacin 750 mg once a day for ten days was prescribed, but his ocular condition did not improve. The IOP reduced to 8 mmHg, and a repeat ultrasound showed serous CD in two quadrants. Even with systemic steroids, inflammation did not resolve fully and LE had only perception of light one month later.