DOI: 10.36347/sjams.2017.v05i01.033

Pages: 162-165

Post-operative Nocardia endophthalmitis has an aggressive course and poor visual outcome. The major clinical manifestations of Nocardial endophthalmitis are decreased visual acuity, which usually progressed over days, eye pain, foreign body sensation, necrotizing chrorioretinits, retinal detachment, anterior uveitis, and inflammation of vitreous, abcess in sub retinal space, vitreous and anterior chamber. Finding: A 50 years old lady presented with complaints of decreased vision in left eye since one month. She gave history of left eye cataract surgery one month back at another centre. She is a diabetic and hypertensive. On direct microscopy and culture of the AC wash Nocardia was isolated and identified. She was started on antibiotics based on antibiotics susceptibility. Vision improved over time. Conclusion: Nocardia endophthalmitis manifests late after cataract surgery in an aggressive form and carries a poor visual outcome. An early diagnosis and the use of correct antibiotic regimen may salvage the vision.