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Lisa Kay Mao, MD; Harry W. Flynn, Jr, MD; Darlene Miller, MT, MA; Stephen C. Pflugfelder, MD

Arch Ophthalmol. 1992;110(6):798-801.

Abstract
• The medical records of 48 patients with culture-positive streptococcal endophthalmitis diagnosed between January 1977 and May 1990 were reviewed. The viridans group streptococci were isolated in 24 (50%) of the 48 cases, enterococci in 13 cases (27.1%), Streptococcus pneumoniae in six cases (12.5%), and β-hemolytic streptococci in six (12.5%) of 48 cases. The clinical statuses of endophthalmitis cases by etiology were postoperative in 40 patients (83.3%), posttraumatic in six patients (12.5%), and miscellaneous in two patients (4.2%). Overall, 15 (31.2%) patients achieved 20/400 or better visual acuity. The streptococcal isolates demonstrated a 32.6% in vitro resistance to gentamicin sulfate, whereas all isolates were sensitive to vancomycin hydrochloride. The enterococci were often resistant to the cephalosporins, whereas the other streptococcal species were not.

Author Affiliations
From the Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami (Fla) School of Medicine.

Footnotes
Accepted for publication December 17, 1991.

Reprint requests to Bascom Palmer Eye Institute, University of Miami School of Medicine, Department of Ophthalmology, PO Box 016880, Miami, FL 33101 (Dr H. Flynn, Jr).

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