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Successful Prophylaxis of Clostridium perfringens Endophthalmitis

Successful Prophylaxis of Clostridium perfringens Endophthalmitis Abstract Clostridium perfringens, an anaerobic, gram-positive Bacillus, is an infrequent pathogen in endophthalmitis. Typically, ocular infection with this organism is rapidly destructive and accompanied by severe visual loss. We recently treated a patient with ocular trauma and C perfringens contamination of the vitreous who recovered 20/25 visual acuity. Report of a Case. —A 24-year-old male farm worker was referred to the Southern Illinois University Eye Center (Springfield) after penetration of the right eye with a manure-contaminated nail. His visual acuity was measured at hand motions at 1 ft in the right eye and 20/20 in the left eye. Slit-lamp biomicroscopy of the right eye revealed conjunctival hyperemia, a 4.5-mm stellate corneoscleral laceration that did not involve the visual axis, and iris prolapse with the pupil peaked toward the wound. The anterior chamber was flat and the lens was opacified, precluding visualization of the vitreous and retina. The left eye was normal. References 1. Duke-Elder S. System of Ophthalmology . London, England: Henry Klimpton Publishers; 1972;14:405-407. 2. Frantz JF, Lemp ML, Font RL, Stone R, Eisner E. Acute endogenous panophthalmitis caused by Clostridium perfringens . Am J Ophthalmol . 1974;78:295-303. 3. Boldt HC, Pulido JS, Blodi CF, Folk JC, Weingeist TA. Rural endophthalmitis . Ophthalmology . 1989;96:1722-1726.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Successful Prophylaxis of Clostridium perfringens Endophthalmitis

Archives of Ophthalmology , Volume 109 (9) – Sep 1, 1991

Successful Prophylaxis of Clostridium perfringens Endophthalmitis

Abstract

Abstract Clostridium perfringens, an anaerobic, gram-positive Bacillus, is an infrequent pathogen in endophthalmitis. Typically, ocular infection with this organism is rapidly destructive and accompanied by severe visual loss. We recently treated a patient with ocular trauma and C perfringens contamination of the vitreous who recovered 20/25 visual acuity. Report of a Case. —A 24-year-old male farm worker was referred to the Southern Illinois University Eye Center (Springfield) after...
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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1991.01080090023012
Publisher site
See Article on Publisher Site

Abstract

Abstract Clostridium perfringens, an anaerobic, gram-positive Bacillus, is an infrequent pathogen in endophthalmitis. Typically, ocular infection with this organism is rapidly destructive and accompanied by severe visual loss. We recently treated a patient with ocular trauma and C perfringens contamination of the vitreous who recovered 20/25 visual acuity. Report of a Case. —A 24-year-old male farm worker was referred to the Southern Illinois University Eye Center (Springfield) after penetration of the right eye with a manure-contaminated nail. His visual acuity was measured at hand motions at 1 ft in the right eye and 20/20 in the left eye. Slit-lamp biomicroscopy of the right eye revealed conjunctival hyperemia, a 4.5-mm stellate corneoscleral laceration that did not involve the visual axis, and iris prolapse with the pupil peaked toward the wound. The anterior chamber was flat and the lens was opacified, precluding visualization of the vitreous and retina. The left eye was normal. References 1. Duke-Elder S. System of Ophthalmology . London, England: Henry Klimpton Publishers; 1972;14:405-407. 2. Frantz JF, Lemp ML, Font RL, Stone R, Eisner E. Acute endogenous panophthalmitis caused by Clostridium perfringens . Am J Ophthalmol . 1974;78:295-303. 3. Boldt HC, Pulido JS, Blodi CF, Folk JC, Weingeist TA. Rural endophthalmitis . Ophthalmology . 1989;96:1722-1726.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Sep 1, 1991

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