{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T14:33:06Z","timestamp":1776781986988,"version":"3.51.2"},"reference-count":12,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,28]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>To report the clinical course and management of interface keratitis due to <jats:italic>Enterococcus faecalis<\/jats:italic> after Descemet membrane endothelial keratoplasty (DMEK). A 64-year-old man underwent DMEK, with unevenful immediate postoperative course, with a visual recovery of 20\/30 at 2 weeks. At 3 months of clinical visit, interface keratitis was noted. DMEK graft removal with stromal bed scrapings was performed. A diagnosis of <jats:italic>E. faecalis<\/jats:italic> interface keratitis was made. The patient responded favourably to antibiotic susceptibility-guided intensive treatment with vancomycin 5% with complete resolution of infection. After 2 months of graft removal, Descemet stripping endothelial keratoplasty (DSEK) was performed. The corneal clarity was restored and the best corrected visual acuity was 20\/40 at last follow-up of 1\u2009year. <jats:italic>E. faecalis<\/jats:italic> should be kept as a differential in delayed onset interface keratitis after DMEK. After microbiological cure with antibiotic therapy, visual rehabilitation with DSEK restores corneal clarity and results in favourable visual outcome.<\/jats:p>","DOI":"10.1136\/bcr-2020-238389","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T12:34:17Z","timestamp":1611750857000},"page":"e238389","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Delayed postoperative interface keratitis due to <i>Enterococcus faecalis<\/i> after Descemet membrane endothelial keratoplasty"],"prefix":"10.1136","volume":"14","author":[{"given":"Priyanka","family":"Sudana","sequence":"first","affiliation":[{"name":"Cornea and Anterior Segment, LV Prasad Eye Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6195-0024","authenticated-orcid":false,"given":"Sunita","family":"Chaurasia","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment, LV Prasad Eye Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joveeta","family":"Joseph","sequence":"additional","affiliation":[{"name":"Jhaveri Microbiology Centre, L V Prasad Eye Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilip Kumar","family":"Mishra","sequence":"additional","affiliation":[{"name":"Ophthalmic Pathology Services, LV Prasad Eye Institute, Hyderabad, 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endothelial keratoplasty","volume":"38","author":"Van Landeghem","year":"2019","journal-title":"Cornea"},{"key":"2025082801104605000_14.1.e238389.8","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1097\/ICO.0000000000002058","article-title":"Management of Nocardia interface keratitis after Descemet membrane endothelial keratoplasty","volume":"38","author":"Srirampur","year":"2019","journal-title":"Cornea"},{"key":"2025082801104605000_14.1.e238389.9","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000017140","article-title":"Multi-drug resistant Enterococcus faecium in late-onset keratitis after deep anterior lamellar keratoplasty: a case report and review of the literature","volume":"98","author":"D'Oria","year":"2019","journal-title":"Medicine"},{"key":"2025082801104605000_14.1.e238389.10","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/ICO.0b013e3181eae8ff","article-title":"Late-onset deep infectious keratitis after Descemet stripping endothelial 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