{'fraction_non_alphanumeric': 0.02477291494632535, 'fraction_numerical': 0.011560693641618497, 'mean_word_length': 5.3125, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Bacillus licheniformis as a cause of delayed-onset recurrent pseudophakic endophthalmitis-a rare case report.

PURPOSE
To report a case of delayed-onset recurrent pseudophakic endophthalmitis caused by Bacillus licheniformis.


METHOD
Retrospective review of a case.


RESULTS
A 30-year-old lady (s/p pseudophakia 10 years) presented with features of acute endophthalmitis and a vision of light perception in the left eye. She had received 15 intravitreal injections and systemic corticosteroids earlier for similar complaints. A core vitrectomy and intravitreal antibiotics injection improved her vision to 20/70, although the symptoms recurred a week later. Intraocular lens explantation with a repeat vitrectomy and intravitreal antibiotics was performed. The vitreous/aqueous fluid on both occasions grew B. licheniformis sensitive to fluoroquinolones, vancomycin, and gentamicin. One year after the second surgery, her vision was 20/30 with a quiet eye.


CONCLUSION
This case shows that delayed-onset recurrent endophthalmitis after cataract extraction may be caused by Bacillus spp. and, despite sensitivity to most antibiotics, may require intraocular lens explantation for eradication of the infection.