Two cases of Burkholderia cepacia endophthalmitis

Although Staphylococcus epidermidis is responsible for the majority of cases after cataract surgery, any bacteria may cause postoperative endophthalmitis. Burkholderia cepacia (previously known as Pseudomonas cepacia ) is a Gram negative, oxidase positive, non-fermentative bacilli. Burkholderia cepacia does cause significant infection not only in cystic fibrosis, chronic granulomatous disease, and immunocompromised patients, but also in healthy individuals.1 It has been shown to be resistant to some antiseptics such as benzalkonium chloride, clorhexidine at standard or high concentrations, and even be alive in those antiseptics.2 A 63 year old diabetic patient was diagnosed with endophthalmitis after an uneventful phacoemulsification and foldable intraocular lens (IOL) implantation. A vitreous tap was …