Post-Traumatic Endophthalmitis Caused by Oerskovia turbata

Landon J. Rohowetz, Nimesh A. Patel, Nicolas A. Yannuzzi, Kenneth C. Fan, Darlene Miller, Harry W. Flynn

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalCase Reports in Ophthalmology
DOIs
StateAccepted/In press - Jan 1 2019
Externally publishedYes

    Fingerprint

Keywords

  • Capsulectomy
  • Lensectomy
  • Oerskovia turbata
  • Post-traumatic endophthalmitis

ASJC Scopus subject areas

  • Ophthalmology

Cite this