Post-Traumatic Endophthalmitis Caused by Oerskovia turbata.

Abstract

PURPOSE:

To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy.

CASE REPORT:

A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up.

CONCLUSION:

This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation.

• Authors: Landon J Rohowetz, Nimesh A Patel, Nicolas A Yannuzzi, Kenneth C Fan, Darlene Miller, Harry W Flynn Jr
• Journal: Case reports in ophthalmology (Case Rep Ophthalmol) 2019 Sep-Dec Vol. 10 Issue 3 Pg. 312-318 ISSN: 1663-2699 [Print] Switzerland
• PMID: 31607896 (Publication Type: Case Reports)
• Copyright: Copyright © 2019 by S. Karger AG, Basel.