Hu Jiezhong, Huang Chunling, Li Jingyi, Fang Caixia, Li Jiali, Feng Songfu
Department of Ophthalmology, Houjie Hospital, Dongguan, China.
Department of Ophthalmology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Front Med (Lausanne). 2024 Aug 13;11:1406277. doi: 10.3389/fmed.2024.1406277. eCollection 2024.
is an uncommon cause of endophthalmitis. This case report describes a 40-year-old male admitted with pain, redness, and vision loss in his right eye after an open globe injury by a steel fragment. Clinical assessment confirmed post-traumatic endophthalmitis with an intraocular foreign body. The patient underwent a vitreous biopsy, lensectomy, vitrectomy, and intravitreal antibiotics, followed by laser photocoagulation and foreign body extraction via the pars plana. Acinetobacter johnsonii was isolated from the vitreous culture. A combination of vancomycin, levofloxacin and ceftazidime was administered, leading to reduced infection and inflammation. Postoperatively at one month, the patients' best-corrected visual acuity had improved to 20/63. The anterior segment exhibited no inflammation, the vitreous cavity was clear, and the retina with hemorrhage and laser treatment remained stable. The one-year follow-up confirmed the continued stability of the ocular condition. , a rare cause of endophthalmitis often linked to trauma or surgery, should be recognized as a possible pathogen in post-traumatic endophthalmitis cases, meriting clinical consideration.
是眼内炎的一种罕见病因。本病例报告描述了一名40岁男性，在被钢碎片开放性眼球损伤后，因右眼疼痛、发红和视力丧失入院。临床评估证实为创伤后眼内炎伴眼内异物。患者接受了玻璃体活检、晶状体切除术、玻璃体切除术和玻璃体内抗生素治疗，随后进行激光光凝和经睫状体扁平部异物取出术。从玻璃体培养物中分离出约翰逊不动杆菌。给予万古霉素、左氧氟沙星和头孢他啶联合治疗，导致感染和炎症减轻。术后1个月，患者的最佳矫正视力提高到20/63。眼前节无炎症，玻璃体腔清晰，视网膜有出血且激光治疗后保持稳定。1年随访证实眼部状况持续稳定。 ，一种常与创伤或手术相关的眼内炎罕见病因，应被视为创伤后眼内炎病例的可能病原体，值得临床考虑。
