Chai Huei Xian, Koh Yi Ni, Samsudin Amir, Chong Mei Fong
Ophthalmology, University of Malaya Medical Centre, Selangor, MYS.
Ophthalmology, Hospital Raja Permaisuri Bainun, Perak, MYS.
Cureus. 2022 Apr 8;14(4):e23962. doi: 10.7759/cureus.23962. eCollection 2022 Apr.
is a rare but aggressive causative organism in panophthalmitis. It is commonly transmitted to humans through contact with cats and dogs as a result of bites or scratches. We report a rare case of panophthalmitis due to following an industrial penetrating injury. A previously healthy 40-year-old steel factory operator developed a right eye penetrating injury after being struck accidentally by a piece of iron wire which flew into his eye during work. He complained of immediate blurring of vision and severe pain in the affected eye. During history taking, he mentioned that many stray cats wandered around his workplace, although he had no direct contact with these animals. On examination, the best-corrected visual acuity was light perception in the right eye. Slit-lamp biomicroscopy revealed injected conjunctiva and a full-thickness macerated corneal laceration wound. The anterior chamber appeared shallow with the presence of lens matter. He was treated promptly with surgical repair along with intracameral and intravenous antibiotics for six hours post-trauma. His eye condition, however, deteriorated postoperatively despite aggressive treatment with further topical, intravitreal, and systemic antibiotics. This is the first reported case of ocular panophthalmitis secondary to industrial penetrating injury. Our case highlights the rapidly progressive nature of infection. It should always be considered due to the very serious nature of infection as well as its resistance to standard antibiotic treatment regimens.
是全眼球炎中一种罕见但具有侵袭性的致病微生物。它通常通过被猫和狗咬伤或抓伤而传染给人类。我们报告了一例因工业穿透伤后发生的全眼球炎罕见病例。一名此前健康的40岁钢铁厂工人在工作时被一根飞入眼睛的铁丝意外击中后,右眼受到穿透伤。他主诉受伤后立即视力模糊,患眼剧痛。在询问病史时,他提到许多流浪猫在他的工作场所附近游荡,尽管他没有与这些动物直接接触。检查时,右眼最佳矫正视力为光感。裂隙灯生物显微镜检查显示结膜充血,角膜全层撕裂伤且有浸润。前房因有晶状体物质而显得浅。外伤后他立即接受了手术修复,并在眼内和静脉注射抗生素治疗6小时。然而,尽管进一步使用局部、玻璃体内和全身抗生素进行积极治疗,他的眼部状况术后仍恶化。这是首例报告的因工业穿透伤继发的眼部全眼球炎病例。我们的病例突出了该感染快速进展的性质。由于该感染的严重性及其对标准抗生素治疗方案的耐药性,应始终予以考虑。